Active NPI
Martin T. Greaney, M.D.
- Family Medicine Physician
- Ventura, CA
National Provider Identifier
1710059787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34312
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A343120 | Medicaid | CA |
Other names 1
- VENTURA MEDICAL GROUP
National Provider Directory
National Provider DirectoryLocations
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.