Greenfield Country Club

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREENFIELD COUNTRY CLUB

Practice address

369 E Pine St
Bishop, CA 93514-2849

Phone

(760) 873-3100

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Jenq H Chen

Title

Owner

Phone

(310) 889-9929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811984065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 PONTIUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 E PINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142849",
            "telephone_number": "760-873-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD COUNTRY CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JENQ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-889-9929"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri Giovanine, DC
• Jan Goldberg
• Maria Lourdes Gonzalez, LMFT
• Anne M Goshgarian, MD
• David Lee Greene, MD
• Catherine Grisham, CADC-CAS
• Donald Eugene Harjo, CNA, PHLEBOTOMIST
• Nickoline M Hathaway, MD
• Elizabeth Elaine Haun, FNP
• John Adam Hawkins

• Assisted Living Facility in Bishop, CA
• Providers in Bishop, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.