JUSTIN TAYLOR GREEN (NPI# 1093312142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093312142 |
| Entity Type | Individual |
| Full Name | JUSTIN TAYLOR GREEN |
| Practice Address |
1760 Termino Ave Ste 208 Long Beach CA 90804-2151 |
| Mailing Address |
1052 Airshire Ln Pomona CA 91766-5559 |
| Practice Telephone | 5629615655 |
| Practice Fax Number | 5629618819 |
| Mailing Telephone | 5623478719 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138762 | Justin Green | Doula | 1435 N Dearborn St Apt 4a, Chicago, IL 60610-1562 | 2020-09-10 |
| 1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
| 1427467141 | Justin Green | Registered Nurse | 1241 5th Ave, Stevens Point, WI 54481-1726 | 2014-08-06 |
| 1881613503 | Justin O Green | Counselor | #4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2006-07-19 |
| 1124027644 | Justin B. Green | Podiatrist | 2309 E Main St, Suite 201, New Iberia, LA 70560-4046 | 2005-07-18 |
| 1750874210 | Justin A Green | Dentist | 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 | 2018-06-10 |
| 1225582760 | Justin Tyler Green | Pharmacist | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2016-08-13 |
| 1639525884 | Justin M Green | Family Medicine | 3950 E Robinson Rd Ste 207, W Amherst, NY 14228-2044 | 2016-05-06 |
| 1326431644 | Justin Green | Physician Assistant | 308 Dolphin Dr, Jacksonville, NC 28546-5266 | 2015-03-11 |
| 1992089312 | Justin Lee Green | Chiropractor | 1185 W County Line Rd, Greenwood, IN 46142-5156 | 2011-10-04 |
| Street Address |
1760 TERMINO AVE STE 208 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811229 | Dwayne Tatnall | Student in an Organized Health Care Education/Training Program | 4110 Santa Fe Ave, Long Beach, CA 90810-1439 | 2020-08-11 |
| 1366067902 | Graciela Ignacio | Student in an Organized Health Care Education/Training Program | 1780 Aquarius St, Long Beach, CA 90810-3217 | 2020-06-09 |
| 1710506514 | Sabreen Onallah | Student in an Organized Health Care Education/Training Program | 5901 E 7th St Bldg 166, Long Beach, CA 90822-5201 | 2020-04-11 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1972131761 | James Tolentino | Student in an Organized Health Care Education/Training Program | 3218 Maine Ave, Long Beach, CA 90806-1236 | 2020-03-29 |
| 1720615560 | Andrew Cabrera | Student in an Organized Health Care Education/Training Program | 5901 E 7th St # 12160, Long Beach, CA 90822-5201 | 2020-03-23 |
| 1639717770 | Brucha Buff | Student in an Organized Health Care Education/Training Program | 70 W Beech St, Long Beach, NY 11561-3407 | 2019-12-19 |
| 1790333268 | Chandara Duongmeas | Student in an Organized Health Care Education/Training Program | 3565 Linden Ave Unit 220, Long Beach, CA 90807-4528 | 2019-08-28 |
| 1174179733 | Taureece James Wilson | Student in an Organized Health Care Education/Training Program | 135 E Eldridge St, Long Beach, CA 90807-5018 | 2019-08-09 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on JUSTIN TAYLOR GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.