Roy A Greenberg, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G36561 Issued in CA

Practice address

1600 Creekside Dr
Ste 2100
Folsom, CA 95630-3444

Phone

(916) 983-2663

Fax

(916) 983-0602

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1790779478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "address_2": "STE 2100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303444",
            "telephone_number": "916-983-2663",
            "fax_number": "916-983-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR",
            "address_2": "STE 2100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303444",
            "telephone_number": "916-983-2663",
            "fax_number": "916-983-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ROY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G36561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina M Granados, PSYD
• Amber Grandez
• Greater Sacramento Pediatrics Association Inc
• Cynthia Green
• Lara Petrou Green, ACSW
• Hayley Greene
• Kartika A Greene, ACSW
• Gregory G. Olsen, DDS, Inc.
• Sheyanne Gresio-Cardenas
• Valerie Griffin, FNP

• Family Medicine Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.