MEDICARE: JAMES Y.GREENBERG, MD, A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A55519	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003993247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES Y.GREENBERG, MD, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1730 16TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-4538
Country	:	US
Telephone Number	:	415-474-7955
Fax Number	:	415-292-0718

Provider Business Practice Location Address
First Line	:	2299 POST ST STE 205
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3473
Country	:	US
Telephone Number	:	415-474-7955
Fax Number	:	415-292-0718

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES YAKOV GREENBERG
Credential	:	MD
Telephone Number	:	415-474-7955

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	12/03/2012

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