DR. BRUCE GREENWALD (NPI# 1619908829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619908829 |
| Entity Type | Individual |
| Full Name | DR. BRUCE GREENWALD |
| Credential | M.D. |
| Practice Address |
888 S Hill Rd Ventura CA 93003-8400 |
| Mailing Address |
2590 E Main St Ventura CA 93003-2619 |
| Practice Telephone | 8054776464 |
| Practice Fax Number | 8054776498 |
| Mailing Telephone | 8054776464 |
| Mailing Fax Number | 8054776498 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G48134 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801110473 | Bruce Greenwald | Pharmacist | 558 W 235th St, Bronx, NY 10463-1709 | 2010-03-25 |
| 1801842018 | Bruce D Greenwald | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-05-26 |
| 1154392504 | Bruce M Greenwald | Pediatrics | 1275 York Ave, New York, NY 10021-6007 | 2006-02-01 |
| Street Address |
888 S HILL RD |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330399 | Karen D Lockwood | Internal Medicine | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-03-15 |
| 1538608963 | Karen Fitzgerald | Pharmacist | 888 S Hill Rd, Ventura, CA 93003-8400 | 2017-02-17 |
| 1619415791 | Lisa Nguyen | Pharmacist | 888 S Hill Rd, Ventura, CA 93003-8400 | 2017-02-08 |
| 1992111744 | Jacob Alan Dodge | Family Medicine | 888 S Hill Rd, Ventura, CA 93003-8400 | 2014-07-01 |
| 1689089526 | John Riggs | Family Medicine | 888 S Hill Rd, Ventura, CA 93003 | 2014-06-30 |
| 1659571552 | Jennifer Schneider | Physical Therapist | 888 S Hill Rd, Ventura, CA 93003-8400 | 2007-07-19 |
| 1487764643 | Chelsea Management, Inc. | Pharmacy | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-08-30 |
| 1063525897 | Catherine M Hurley | Pediatrics | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-08-16 |
| 1316965239 | Leck Read | Family Medicine | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-18 |
| 1811916299 | Erin Anderson | Physical Therapist | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710312822 | Malibu Specialty Center | Internal Medicine | 1746 S Victoria Ave, Ste 230, Ventura, CA 93003-6183 | 2013-09-09 |
| 1386701787 | Covington Menz Lyche & Lin Medical Gp | Internal Medicine | 168 N Brent St Ste 404, Ventura, CA 93003 | 2007-01-03 |
| 1669418232 | Sabine Hazan | Internal Medicine | 1835 Knoll Dr, Ventura, CA 93003 | 2006-06-21 |
| 1851323026 | Benito A Pedraza | Internal Medicine | 168 N Brent St, Ste 404, Ventura, CA 93003 | 2006-07-07 |
| 1154353456 | Stephen D Covington | Internal Medicine | 168 N Brent St, Ste 404, Ventura, CA 93003 | 2006-07-07 |
| 1811927981 | Kip D Lyche | Internal Medicine | 168 N Brent St, Ste 404, Ventura, CA 93003 | 2006-07-04 |
| 1508893496 | Tesu Lin | Internal Medicine | 168 N Brent St, Ste 404, Ventura, CA 93003 | 2006-06-27 |
| 1447286141 | Charles L Menz | Internal Medicine | 168 N Brent St, Ste 404, Ventura, CA 93003 | 2006-06-24 |
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| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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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.