Healthcare Provider Details

I. General information

NPI: 1215890249
Provider Name (Legal Business Name): BARBARA J GREENFIELD RN, BSN, CCM, CNLCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 FREMONT AVE STE 103
SOUTH PASADENA CA
91030-5702
US

IV. Provider business mailing address

1101 FREMONT AVE STE 103
SOUTH PASADENA CA
91030-5702
US

V. Phone/Fax

Practice location:
  • Phone: 626-799-8605
  • Fax: 626-389-1826
Mailing address:
  • Phone: 626-799-8605
  • Fax: 626-389-1826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201803473RN
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number348082
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: