Individual provider Active NPI

Cindy Greenberg, MD

  • Pediatrics Physician
  • Novato, CA
National Provider Identifier
1952317042
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G80877 Issued in CA
Practice address
101 Rowland Way Ste 220
Novato, CA 94945
Phone
(415) 878-7200
Fax
(415) 369-1274
NPI assigned
Jul 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G80877 CA Primary

Addresses

Primary practice location

101 Rowland Way Ste 220
Novato, CA 94945

Mailing address

2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (415) 878-7200

Other practice location 1

750 Las Gallinas Ave
Suite 210
San Rafael, CA 94903
Phone (415) 479-7244

Other identifiers 1

IdentifierTypeStateIssuer
G80877OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000537 CA Practitioner - Pediatric Medicine 7113084112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Medical College of Wisconsin, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G80877CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF Pediatrics CurrentSince Apr 7, 2019 Accepting new patients
Marin General Hospital Past Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1100 Larkspur Landing Cir
Ste 10
Larkspur, CA 94939
Phone (415) 464-1350

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

4000 Civic Center Dr
Ste 205
San Rafael, CA 94903
Phone (415) 479-7244

4000 Civic Center Dr
San Rafael, CA 94903
Phone (415) 492-3333

Interoperability endpoints

  • Direct secure messaging: cgreenberg105097@direct-ucsfmedicalcenter.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952317042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "telephone_number": "415-878-7200",
            "fax_number": "415-369-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROWLAND WAY STE 220",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "94945",
            "telephone_number": "415-878-7200",
            "fax_number": "415-369-1274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Las Gallinas Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "94903",
            "country_code": "US",
            "telephone_number": "415-479-7244",
            "fax_number": "415-479-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "CINDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G80877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G80877",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.