The Original Vein Doctor

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

Legal business name

THE ORIGINAL VEIN DOCTOR

Practice address

44300 Monterey Ave
Suite B
Palm Desert, CA 92260-3377

Phone

(760) 341-5777

Fax

(760) 340-4184

NPI assigned

Apr 27, 2017

Last updated

Apr 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanford Joseph Greenberg, MD

Title

Physician

Phone

(760) 341-5777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1841725801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44300 MONTEREY AVE",
            "address_2": "SUITE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603377",
            "telephone_number": "760-341-5777",
            "fax_number": "760-340-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44300 MONTEREY AVE",
            "address_2": "SUITE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603377",
            "telephone_number": "760-341-5777",
            "fax_number": "760-340-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORIGINAL VEIN DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-341-5777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebology Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Phlebology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.