MEDICARE: DR. VANESSA ROSE GREENWOOD M.D.

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	207Q00000X	Family Medicine Physician	A86350	CA
2	2084P0800X	Psychiatry Physician	A86350	CA

General Provider Information

NPI Number	:	1134281934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VANESSA ROSE GREENWOOD M.D.

Provider Business Mailing Address
First Line	:	3420 KENYON ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-5001
Country	:	US
Telephone Number	:	619-221-6577
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 KENYON ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-5001
Country	:	US
Telephone Number	:	619-221-6577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	01/19/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1316250285 — MS. CHERIE LEE TRAYLOR LCSW
Practice Location Address:

3420 KENYON ST , BLDG B, 2ND FLOOR
SAN DIEGO, CA
92110-5001

Practice Phone: 877-496-0450
Practice Fax: 619-221-6565

1194803130 — LANA CHARLENE LEE MD
Practice Location Address:

3420 KENYON ST
SAN DIEGO, CA
92110-5001

Practice Phone: 800-290-5000
Practice Fax:

1699840579 — MS. JANEL LYNETTE MEDINA LCSW
Practice Location Address:

3420 KENYON ST
SAN DIEGO, CA
92110-5001

Practice Phone: 619-221-6550
Practice Fax: 619-221-6556

1104983972 — ESTHER GLENN MFT
Practice Location Address:

3420 KENYON ST
SAN DIEGO, CA
92110-5001

Practice Phone: 619-221-6550
Practice Fax: 619-221-6550

1417085853 — TINA MARIE LA VOY LCSW
Practice Location Address:

3420 KENYON ST
SAN DIEGO, CA
92110-5001

Practice Phone: 619-221-6550
Practice Fax: 619-221-6556

Directions to “ DR. VANESSA ROSE GREENWOOD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.