DR. DOUGLAS ALLEN GREEN (NPI# 1164635173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164635173 |
Entity Type | Individual |
Full Name | DR. DOUGLAS ALLEN GREEN |
Credential | M.D., PH.D. |
Practice Address |
31700 Temecula Pkwy Temecula CA 92592-5896 |
Mailing Address |
Po Box 2389 Temecula CA 92593-2389 |
Practice Telephone | 9516003811 |
Mailing Telephone | 9516003811 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2013-08-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
A100113 | CA | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A100113 | CA | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | A100113 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1164635173 | 05 | |
CA | BS OF CA | 00A1001130 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588072797 | Douglas Andrew Green | Counselor | 677 S 7th Ave, Mount Vernon, NY 10550-4825 | 2014-07-31 |
1205119195 | Douglas Green | Physical Therapist | 16819 S Dupont Hwy, Ste 500, Harrington, DE 19952-3192 | 2011-09-27 |
1376822445 | Douglas Green | Counselor | 8715 Plantation Ln, Ste 301 A, Manassas, VA 20110-8323 | 2011-08-08 |
1437323698 | Douglas Green | Counselor | 1011 Goodrich Blvd, Los Angeles, CA 90022-5102 | 2008-04-18 |
1972614717 | Douglas Green | Dentist | 10729 Town Square Dr Ne, #150, Blaine, MN 55449 | 2006-08-31 |
1609129246 | Douglas Green | Behavioral Analyst | 1516 E Tropicana Ave Ste 137, Las Vegas, NV 89119-6552 | 2012-10-19 |
1841584471 | Douglas Keith Green | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-05-31 |
1790018596 | Douglas Koakane Green | Chiropractor | 75-5852 Alii Dr, Suite 166, Kailua Kona, HI 96740-1310 | 2009-09-10 |
1699806216 | Douglas Green | Rehabilitation Practitioner | 14535 Sherman Cir, Van Nuys, CA 91405-3087 | 2007-03-07 |
1306901723 | Douglas O. Green | Psychiatry & Neurology | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-26 |
Street Address |
31700 TEMECULA PKWY |
City | TEMECULA |
State | CA |
Zip Code | 92592-5896 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669590204 | Vimi R Kapur | Specialist | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2007-03-26 |
1639785876 | Carlos E Santos Jr. | Nurse Practitioner | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2020-09-22 |
1952922015 | Mohammad Bassam Alasker | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2020-04-29 |
1184251571 | Chea Sok | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2020-03-25 |
1255965828 | Hannah Elizabeth Gross | Physician Assistant | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2020-02-23 |
1801432216 | Jackline Wanga Gates | Nurse Practitioner | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2019-11-20 |
1467094219 | Sarajean Corinne Evans | Nurse Practitioner | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2019-10-14 |
1033618202 | Cep America - Neurology PC | Psychiatry & Neurology | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2018-02-02 |
1508380536 | Independent Anesthesia Consultants of Riverside A Medical Corporation | Nurse Anesthetist, Certified Registered | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2017-08-01 |
1417471301 | Stephanie Lynn Leach | Registered Nurse | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2017-08-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
Find all providers in zip 92592 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003116872 | Riverside Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2010-10-27 |
1265693428 | Bradley Christopher Griffeth | Radiology | 44274 George Cushman Court, Suite 108, Temecula, CA 92592-5945 | 2008-06-20 |
1538565593 | Online Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2014-11-18 |
1154625804 | Remote Diagnostic Interpreters PC | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2011-01-10 |
1861638660 | Awoni A Alim | Radiology | 27699 Jefferson Ave, Suite 110, Temecula, CA 92590-2661 | 2008-12-29 |
1316150816 | Jason Gary Beck | Radiology | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.