Individual provider Active NPI

Robert Owen Greer, AS AS BS LVN

  • Licensed Vocational Nurse
  • San Diego, CA
National Provider Identifier
1841354255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN 170853 Issued in CA
Practice address
3025 Beyer Blvd Ste E-102
San Diego, CA 92154-3432
Phone
(619) 428-1000
Fax
(619) 428-1091
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN 170853 CA Primary

Addresses

Primary practice location

3025 Beyer Blvd Ste E-102
San Diego, CA 92154-3432

Mailing address

5700 Division St
San Diego, CA 92114-6410
Phone (619) 263-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Associate of Science, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
VN 170853CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841354255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DIVISION ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921146410",
            "telephone_number": "619-263-5954",
            "fax_number": "619-263-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BEYER BLVD STE E-102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543432",
            "telephone_number": "619-428-1000",
            "fax_number": "619-428-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "ROBERT",
        "middle_name": "OWEN",
        "credential": "AS AS BS LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 170853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.