MARK R GREENBAUM MD
NPI 1609882331
Emergency Medicine in Santa Cruz, CA

Q: What is Mark Greenbaum's NPI number?

The NPI number for Mark Greenbaum is 1609882331. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Mark Greenbaum's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Greenbaum was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 01, 2006

2025 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 458-5537 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark R Greenbaum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK R GREENBAUM MD (NPI 1609882331) is an individual emergency medicine provider in Santa Cruz, California, licensed in California (G48834) and active in the NPI registry since August 2006. He is a graduate of George Washington University School Of Medicine (1981).

NPPES Registry Identity

NPI1609882331

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMARK R GREENBAUMCredential: MD

Location Address2025 SOQUEL AVESanta Cruz, CA 95062-1323

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (831) 458-5524

Phone(831) 458-5537

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1981

Enumeration DateAugust 1, 2006

Last NPPES UpdateMay 24, 2021

NPPES CertifiedMay 24, 2021

✔ NPI 1609882331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · G48834

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2025 SOQUEL AVE, Santa Cruz, CA 95062

Open in Google Maps ↗

Other Identifiers 1

Medicaid00G488340CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark R Greenbaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204833940

PECOS Enrollment IDI20061023000220

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAYE KIHORANY P.T.

Physical Therapist