Individual provider Active NPI

Susan Ann Greenawald, M.D.

  • Neurology Physician
  • Grass Valley, CA
National Provider Identifier
1972727329
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A65335 Issued in CA
Practice address
380 Sierra College Dr
Ste 200
Grass Valley, CA 95945-5081
Phone
(530) 477-6283
Fax
(530) 477-1450
NPI assigned
Apr 13, 2007
Sex
Female
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
Neurology Physician 2084N0400X A65335 CA Primary

Addresses

Primary practice location

380 Sierra College Dr
Ste 200
Grass Valley, CA 95945-5081

Mailing address

380 Sierra College Dr
Ste 200
Grass Valley, CA 95945-5081
Phone (530) 477-6283

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65335CAMDPharmacist
A65335CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Rehabilitation Medical Associates, Inc. PastSince Jul 15, 2003 Accepting new patients
MJ Silva Medical Corporation PastSince Nov 24, 2024 Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972727329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SIERRA COLLEGE DR",
            "address_2": "STE 200",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455081",
            "telephone_number": "530-477-6283",
            "fax_number": "530-477-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SIERRA COLLEGE DR",
            "address_2": "STE 200",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455081",
            "telephone_number": "530-477-6283",
            "fax_number": "530-477-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENAWALD",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A65335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, 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.