MANZANITA MEDICAL CLINIC – NPI #1700977188
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

MANZANITA MEDICAL CLINIC is a psychiatry & neurologist located in CARMICHAEL, CA. NPPES has assigned the NPI number 1700977188 to MANZANITA MEDICAL CLINIC on September 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MANZANITA MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is ARNOLD GREENBERG MD INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Apr 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANZANITA MEDICAL CLINIC below.

NPI Profile for
ARNOLD GREENBERG MD INC

NPI Number
1700977188
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARNOLD GREENBERG MD INC
Doing Business As (dba): MANZANITA MEDICAL CLINIC
Primary location
5810 JAMESON CT
STE 1
CARMICHAEL, CA 95608
Phone: (916) 979-0621 Fax: (916) 979-1110
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LARISA KRAVCHUK
MANAGER
Phone: (916) 979-0621
Updated
Certification Date
Apr 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MANZANITA MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0080910
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.