Individual ProviderJonathan GreenbergPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3020 Childrens Way, Mc5018, San Diego, CA 92123-4223(858) 966-5832PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Greenberg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1245300029Provider TypeIndividualFull NameGreenberg, JonathanTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date11/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3020 Childrens Way, Mc5018, San Diego, CA 92123-4223Phone(858) 966-5832Fax(858) 966-6733Mailing LocationMailing Address9505 Genesee Ave Apt 532, San Diego, CA 92121-2010PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0804XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA95173California