THERESE ANNE-COLLINS GREEN (NPI# 1134246648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134246648 |
| Entity Type | Individual |
| Full Name | THERESE ANNE-COLLINS GREEN |
| Credential | PTA |
| Practice Address |
4655 Ruffner St Ste 270 San Diego CA 92111-2276 |
| Mailing Address |
1381 Pritchett Ct Los Altos CA 94024-5712 |
| Practice Telephone | 8007876787 |
| Mailing Telephone | 6509650140 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 5270 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTA LICENSE | 5270 | 01 |
| Street Address |
4655 RUFFNER ST STE 270 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-2276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215228457 | Zeninah Moore | Physical Therapy Assistant | 4655 Ruffner St Ste 270, San Diego, CA 92111-2276 | 2011-04-21 |
| 1003137043 | Amy Fose | Physical Therapy Assistant | 4655 Ruffner St Ste 270, San Diego, CA 92111-2276 | 2010-06-14 |
| 1720284326 | Richard O'neal Irby | Physical Therapy Assistant | 4655 Ruffner St Ste 270, San Diego, CA 92111-2276 | 2007-06-21 |
| 1033314687 | Kinshuk Gupta | Physical Therapist | 4655 Ruffner St Ste 270, San Diego, CA 92111-2276 | 2007-06-15 |
| 1952502973 | Bernice Lopez | Physical Therapy Assistant | 4655 Ruffner St Ste 270, San Diego, CA 92111-2276 | 2007-05-29 |
| 1841403383 | Teresa Odonnell | Occupational Therapy Assistant | 4655 Ruffner St Ste 270, San Diego, CA 92111-2276 | 2007-05-08 |
| 1366561490 | Sydelle Rennick | Speech-Language Pathologist | 4655 Ruffner St Ste 270, San Diego, CA 92111-2276 | 2007-03-28 |
| 1639296841 | Susana Gonzalez | Occupational Therapy Assistant | 4655 Ruffner St Ste 270, San Diego, CA 92111-2276 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689215204 | Jacinto Verges IIi | Contractor | 2117 Bluebird St, San Diego, CA 92114-1502 | 2019-10-04 |
| 1992231633 | Michael Williams | Contractor | 8590 Production Ave, Suite B, San Diego, CA 92121-2281 | 2017-05-01 |
| 1083168983 | Mohamed Omar Yusuf | Contractor | 4252 Van Dyke Ave Apt 4, San Diego, CA 92105-1255 | 2016-08-09 |
| 1194184648 | David Troupin | Contractor | 2949 Garnet Ave, San Diego, CA 92109-3826 | 2016-02-12 |
| 1881062917 | Derlin Hsu | Contractor | 4663 Kansas St, Unit 10, San Diego, CA 92116-3223 | 2015-09-06 |
| 1316339211 | Del Sur Speech Therapy | Contractor | 8395 Katherine Claire Ln, San Diego, CA 92127-4107 | 2015-03-02 |
| 1487052007 | Tara Marie Graviss | Contractor | 4661 35th St, San Diego, CA 92116-3537 | 2014-12-13 |
| 1437568094 | Celeste Conover | Contractor | 7455 Sean Taylor Ln, San Diego, CA 92126-6091 | 2014-08-07 |
| 1942627765 | Matthew Topper | Contractor | 2254 San Diego Ave, Suite 200, San Diego, CA 92110-2944 | 2014-03-19 |
| 1376967638 | Miramar Billing Solutions, Inc. | Contractor | 4203 Genesee Ave, #103, San Diego, CA 92117-4950 | 2014-02-06 |
| Find all providers in SAN DIEGO | ||||
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| 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.