NICOLA GREEN (NPI# 1134658362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134658362 |
| Entity Type | Individual |
| Full Name | NICOLA GREEN |
| Credential | MD, PHD, MPH |
| Practice Address |
7750 Roseland Dr La Jolla CA 92037-4015 |
| Mailing Address |
7750 East Roseland Dr La Jolla CA 92037 |
| Practice Telephone | (858) 775-4117 |
| Practice Fax Number | 8584590802 |
| Mailing Telephone | 8587754117 |
| Mailing Fax Number | 8584590802 |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2017-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G55506 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7750 ROSELAND DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119000 | Amalio Telenti | Internal Medicine | 1642 Kearsarge Rd, La Jolla, CA 92037-3826 | 2020-03-18 |
| 1740790468 | Tamsin Lisa Kelly | Internal Medicine | 9537 La Jolla Farms Rd, La Jolla, CA 92037-1130 | 2017-10-08 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1730543117 | Emilio Denicio Sulpizio | Internal Medicine | 10666 N Torrey Pines Rd # Ms 312, La Jolla, CA 92037 | 2016-04-11 |
| 1043673734 | David Jacob Hermel | Internal Medicine | 10666 N Torrey Pines Rd # 201n, La Jolla, CA 92037-1027 | 2016-03-31 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1578959185 | Mark C. Adrian Inc. | Internal Medicine | 9850 Genesee Ave Ste 355, La Jolla, CA 92037-1227 | 2015-04-09 |
| 1376938027 | Abbey Claire Barnard | Internal Medicine | 9500 Gilman Dr # 956, La Jolla, CA 92093-6310 | 2015-03-31 |
| 1568872836 | Lina Hashem Dajani | Internal Medicine | 10710 N Torrey Pines Rd # Ms 315, La Jolla, CA 92037-1035 | 2014-05-07 |
| 1003164302 | John Sturdivant Andrews | Internal Medicine | 1223 Via Barranca, La Jolla, CA 92037-6253 | 2012-08-17 |
| Find all providers in LA JOLLA | ||||
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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.