1912138132 NPI number — DR. STEPHANIE CLAUDIA GREGER M.D.

Table of content: DR. STEPHANIE CLAUDIA GREGER M.D. (NPI 1912138132)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912138132 NPI number — DR. STEPHANIE CLAUDIA GREGER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GREGER
Provider First Name:
STEPHANIE
Provider Middle Name:
CLAUDIA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912138132
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2323 KNOLL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VENTURA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93003-7307
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-677-5181
Provider Business Mailing Address Fax Number:
805-677-6304

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3291 LOMA VISTA RD BLDG 340
Provider Second Line Business Practice Location Address:
STE 502
Provider Business Practice Location Address City Name:
VENTURA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93003-3099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-652-6222
Provider Business Practice Location Address Fax Number:
805-652-6221
Provider Enumeration Date:
08/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  A102891 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RR0500X , with the licence number: 245362 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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