Organization Active NPI

Martin T. Greaney, M.D.

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1710059787
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34312 Issued in CA
Legal business name
MARTIN T. GREANEY, M.D.
Practice address
5225 Telegraph Rd
Ventura, CA 93003-4113
Phone
(805) 639-0065
Fax
(805) 639-0069
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Martin Thomas Greaney, M.D.
Title
Owner
Phone
(805) 639-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A34312 CA Primary

Addresses

Primary practice location

5225 Telegraph Rd
Ventura, CA 93003-4113

Mailing address

5225 Telegraph Rd
Ventura, CA 93003-4113
Phone (805) 639-0065

Other identifiers 1

IdentifierTypeStateIssuer
00A343120MedicaidCA

Other names 1

  • VENTURA MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

5225 Telegraph Rd
Ventura, CA 93003
Phone (805) 639-0065

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1710059787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034113",
            "telephone_number": "805-639-0065",
            "fax_number": "805-639-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034113",
            "telephone_number": "805-639-0065",
            "fax_number": "805-639-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN T. GREANEY, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GREANEY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-639-0065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A343120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VENTURA MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.