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MANZANITA MEDICAL CLINIC
NPI 1700977188
Psychiatry & Neurology - Neurology in Carmichael, CA

Active since September 28, 2006CLIA 05D0932652 · Waiver
5810 JAMESON CT, STE 1, CARMICHAEL, CA 95608(916) 979-0621(916) 979-1110 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manzanita Medical Clinic NPPES

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

MANZANITA MEDICAL CLINIC (NPI 1700977188) is a healthcare organization registered as a neurology in Carmichael, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Larisa Kravchuk, Manager, as its authorized official.

NPPES Registry Identity

NPI1700977188
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameARNOLD GREENBERG MD INC
Location Address5810 JAMESON CT, STE 1Carmichael, CA 95608
Mailing Address5810 Jameson CtCarmichael, CA 95608-0881 · (916) 979-0621 · Fax (916) 979-1110
Phone(916) 979-0621
Fax(916) 979-1110
Organization SubpartNo
Authorized OfficialLarisa KravchukManager · (916) 979-0621
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1700977188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedPhysical TherapistTaxonomy 225100000X
5810 JAMESON CT, Carmichael, CA 95608
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Other Names 1

Doing Business AsManzanita Medical Clinic

Other Identifiers 1

MedicaidGR0080910CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0932652

Arnold Greenberg MD Inc Dba Manzanita Medical Clinic · Carmichael, CA
Active · expires Jun 20, 2028
CLIA Number05D0932652
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorPavel Polskiy MD
Laboratory Phone(916) 979-0621
Laboratory LocationArnold Greenberg MD Inc Dba Manzanita Medical Clinic5810 Jameson Court, Carmichael, CA 95608
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ANNA ROYSMAN MD
Pediatrics
5810 JAMESON CT, STE 1
CARMICHAEL, CA 95608
Sacramento County (916) 979-0621
DEBORAH SHERRY PT
Physical Medicine & Rehabilitation
5810 JAMESON CT
CARMICHAEL, CA 95608
Sacramento County (916) 979-0621
IRINA SHULGINA PAC
General Practice
5810 JAMESON CT, STE 1
CARMICHAEL, CA 95608
Sacramento County (916) 979-0621
PAVEL POLSKIY MD
Family Medicine
5810 JAMESON CT, STE 1
CARMICHAEL, CA 95608
Sacramento County (916) 979-0621
NATALIA BLACK MD
Internal Medicine
5810 JAMESON CT, STE 1
CARMICHAEL, CA 95608
Sacramento County (916) 979-0621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arnold Greenberg MD Inc's NPI number?

The NPI number for Arnold Greenberg MD Inc is 1700977188. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is doing business as Manzanita Medical Clinic.

Where is Arnold Greenberg MD Inc located?

Arnold Greenberg MD Inc is located at 5810 Jameson Ct Ste 1, Carmichael, CA 95608. The listed phone number is (916) 979-0621.

What is Arnold Greenberg MD Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does Arnold Greenberg MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0932652) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arnold Greenberg MD Inc was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.