DR. PETER GREENBERG (NPI# 1568552859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568552859 |
Entity Type | Individual |
Full Name | DR. PETER GREENBERG |
Credential | MD |
Practice Address |
77840 Flora Rd Palm Desert CA 92211-4109 |
Mailing Address |
2234 Colonial Blvd Managed Care Dept. Fort Myers FL 33907-1412 |
Practice Telephone | 7602008777 |
Practice Fax Number | 7602008877 |
Mailing Telephone | 2399317342 |
Mailing Fax Number | 2399317385 |
Enumeration Date | 2006-10-15 |
Last Update Date | 2009-08-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | G48958 | CA | Other Service Providers |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G48958 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | AETNA | 4103385 | 01 |
CA | GR0063580 | 05 | |
CA | RAILROAD MEDICARE | P00703711 | 01 |
CA | BLUE SHIELD / TRICARE CALI. | 00G489580 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912033978 | Peter L Greenberg | Internal Medicine | 875 Blake Wilbur Drive, Room 2335, Stanford Univ Cancer Center, Stanford, CA 94305 | 2007-02-26 |
1093728271 | Peter Martin Greenberg | Psychiatry & Neurology | 341 Spruce St, Ste C, San Francisco, CA 94118 | 2006-08-15 |
Street Address |
77840 FLORA RD |
City | PALM DESERT |
State | CA |
Zip Code | 92211-4109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720073935 | Theodore D. Masek | Radiology | 77840 Flora Rd, Palm Desert, CA 92211-4109 | 2005-09-14 |
1467095943 | Xiaolin Li | Contractor | 77840 Flora Rd, Palm Desert, CA 92211-4109 | 2019-10-28 |
1902121544 | Ted Ling | Radiology | 77840 Flora Rd, Palm Desert, CA 92211-4109 | 2010-04-06 |
1568530962 | Cathy Warne | Nurse Practitioner | 77840 Flora Rd, Palm Desert, CA 92211-4109 | 2006-12-01 |
1861472318 | 21st Century Oncology of California A Medical Corporation | Radiology | 77840 Flora Rd, Palm Desert, CA 92211-4109 | 2006-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
Find all providers in zip 92211 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720073935 | Theodore D. Masek | Radiology | 77840 Flora Rd, Palm Desert, CA 92211-4109 | 2005-09-14 |
1902121544 | Ted Ling | Radiology | 77840 Flora Rd, Palm Desert, CA 92211-4109 | 2010-04-06 |
1861472318 | 21st Century Oncology of California A Medical Corporation | Radiology | 77840 Flora Rd, Palm Desert, CA 92211-4109 | 2006-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
Find all providers with the same taxonomy |
City | PALM DESERT |
Zip Code | 92211 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.