Individual provider Active NPI

Christina Kinnevey Greig, MD

  • Family Medicine Physician
  • Fairfield, CA
National Provider Identifier
1467799502
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A138223 Issued in CA
Practice address
2201 Courage Dr
Fairfield, CA 94533-6733
Phone
(707) 784-2010
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A138223 CA Primary

Addresses

Primary practice location

2201 Courage Dr
Fairfield, CA 94533-6733

Mailing address

5 Carolina Dr
Benicia, CA 94510-2518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226002035 CA Order and Referring Only - Family PracticePractitioner - Family PracticePractitioner - Addiction Medicine 1153626221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A138223CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ckinnevey716982@direct.ochin.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467799502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CAROLINA DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 COURAGE DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336733",
            "telephone_number": "707-784-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREIG",
        "first_name": "CHRISTINA",
        "middle_name": "KINNEVEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A138223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.