Active NPI
Geraldine Donna Greenberg, DC,LAC
- Chiropractor
- Sherman Oaks, CA
National Provider Identifier
1568521839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC11914
- Practice address
- 4930 Varna Ave
Sherman Oaks, CA 91423-2011 - Phone
- (818) 986-9565
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC11914 | CA | Primary |
Addresses
Primary practice location
4930 Varna Ave
Sherman Oaks, CA 91423-2011
Mailing address
4930 Varna Ave
Sherman Oaks, CA 91423-2011
Phone (818) 986-9565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120514000090 | CA | Practitioner - Chiropractic | 2466614144 | Practice locations: Sherman Oaks, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4930 Varna Ave
Sherman Oaks, CA 91423-2011
Phone (818) 324-1539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC11914 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1568521839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 VARNA AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232011",
"telephone_number": "818-986-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 VARNA AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232011",
"telephone_number": "818-986-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "GERALDINE",
"middle_name": "DONNA",
"name_prefix": "Dr.",
"credential": "DC,LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2021-03-16",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC11914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.