Active NPI
James L Greenwood, D.O.
- Family Medicine Physician
- Watsonville, CA
National Provider Identifier
1477589281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A4618
- Practice address
- 21 Brennan St
Suite #8
Watsonville, CA 95076-4337 - Phone
- (831) 724-2988
- Fax
- (831) 763-2152
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A4618 | CA | Primary |
Addresses
Primary practice location
21 Brennan St
Suite #8
Watsonville, CA 95076-4337
Mailing address
21 Brennan St
Suite #8
Watsonville, CA 95076-4337
Phone (831) 724-2988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001077 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A4618 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477589281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BRENNAN ST",
"address_2": "SUITE #8",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950764337",
"telephone_number": "831-724-2988",
"fax_number": "831-763-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BRENNAN ST",
"address_2": "SUITE #8",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950764337",
"telephone_number": "831-724-2988",
"fax_number": "831-763-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A4618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001077",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.