Individual provider Active NPI

Dina Vaynberg, M.D.

  • Obstetrics & Gynecology Physician
  • Greenbrae, CA
National Provider Identifier
1598051575
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A132247 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone
(415) 925-7591
Fax
(415) 925-7604
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD - 19067 HI
Obstetrics & Gynecology Physician 207V00000X 69889-20 WI
Student in an Organized Health Care Education/Training Program 390200000X MT200453 PA
Obstetrics & Gynecology Physician 207V00000X A132247 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7591

Other practice location 1

500 Doyle Park Dr
Santa Rosa, CA 95405-4558
Phone (707) 303-1719

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dvaynberg1658419@oc.providencedirect.org

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
I20200528001972 CA Practitioner - Obstetrics/Gynecology 4789957713 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132247CAMDObstetrics & Gynecology Physician
MD - 19067HIMDObstetrics & Gynecology Physician
69889-20WIMDObstetrics & Gynecology Physician
MT200453PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Obstetrics & Gynecology CurrentSince Feb 20, 2024 Accepting new patients
Permanente Medical Group Inc Obstetrics & Gynecology Current Accepting new patients
Northbay Healthcare Group CurrentSince Sep 26, 2023 Accepting new patients
Regents Univ of California UCSF CurrentSince Nov 23, 2022 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Northbay Healthcare Group CurrentSince Sep 26, 2023 Accepting new patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 20, 2024 Accepting new patients

Locations (25 of 27)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

File 50978
Los Angeles, CA 90074

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

500 Doyle Park Dr
Ste 200
Santa Rosa, CA 95405
Phone (707) 303-1719

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Santa Rosa, CA 95405
Phone (707) 528-1050

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

401 Bicentennial Way
Santa Rosa, CA 95403
Phone (707) 393-4000

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1598051575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7591",
            "fax_number": "415-925-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7591",
            "fax_number": "415-925-7604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Doyle Park Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954054558",
            "country_code": "US",
            "telephone_number": "707-303-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAYNBERG",
        "first_name": "DINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD - 19067",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "69889-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT200453",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A132247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dvaynberg1658419@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "500 Doyle Park Dr",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.