MRS. FELECIA GREEN (NPI# 1205914546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205914546 |
| Entity Type | Individual |
| Full Name | MRS. FELECIA GREEN |
| Credential | PA |
| Practice Address |
10650 Sierra Ave Ste B Fontana CA 92337 |
| Mailing Address |
10650 Sierra Ave Ste B Fontana CA 92337-7664 |
| Practice Telephone | 9092203320 |
| Mailing Telephone | 9095503320 |
| Mailing Fax Number | 9096972488 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
17795 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10650 SIERRA AVE STE B |
| City | FONTANA |
| State | CA |
| Zip Code | 92337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528510062 | Urgent Care Travel, Inc | Clinic/Center | 10650 Sierra Ave Ste B, Fontana, CA 92337-7664 | 2016-11-01 |
| 1013129659 | Cindy Ellen Tetzlaff | Physician Assistant | 10650 Sierra Ave Ste B, Fontana, CA 92337-7664 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437630324 | Bobby Lou Moll | Dietitian, Registered | 11967 Savona Dr., Fontana, CA 92337 | 2018-08-28 |
| 1629587001 | Esther Muteti | Registered Nurse | 11468 Old Spring Rd, Fontana, CA 92337 | 2017-09-28 |
| 1992158307 | Crystalina Alvarez | Marriage & Family Therapist | 17210 Slover Ave, Fontana, CA 92337 | 2016-07-20 |
| 1659782787 | Russell Laroy Johnson | Contractor | 11629 Sueno Ct., Fontana, CA 92337 | 2014-05-12 |
| 1295151363 | Mccall Stephens | Marriage & Family Therapist | 15511 Colt Ave, Fontana, CA 92337 | 2014-03-12 |
| 1356780803 | Cynthia Lee Wright I | Registered Nurse | 17216 Slover Avenue, Building L, Fontana, CA 92337 | 2013-06-18 |
| 1649459652 | Rebecca Ann Carpio-darshay | Nurse Practitioner | 17296 Slover Avenue, Fontana, CA 92337 | 2007-10-25 |
| 1205025731 | Karen Garcia-herrera | Dietitian, Registered | 17296 Slover Ave, Palm Court 1, Fontana, CA 92337 | 2007-10-22 |
| 1417049933 | Shauna Nichele Lowry | Orthotist | 16200 Coleen St, Suite A, Fontana, CA 92337 | 2006-09-29 |
| 1033212592 | Jugal K Gupta | Dentist | 11623 Cherry Ave, Ste B-2, Fontana, CA 92337 | 2006-09-07 |
| Find all providers in zip 92337 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053715797 | Ann Marciano | Physician Assistant | 5481 Tenderfoot Dr, Fontana, CA 92336-1143 | 2014-10-09 |
| 1164605093 | Emily Davi Hun | Physician Assistant | 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA 92336 | 2007-12-13 |
| 1548819634 | Henrietta Anne Green | Physician Assistant | 17577 Arrow Blvd, Fontana, CA 92335-4011 | 2019-09-10 |
| 1215302989 | Tameem Hazem Sabry | Physician Assistant | 16465 Sierra Lakes Pkwy, Ste 300, Fontana, CA 92336-1242 | 2015-12-07 |
| 1861895781 | Reuben San Juan | Physician Assistant | 7774 Cherry Ave, Fontana, CA 92336-4014 | 2014-10-06 |
| 1982854865 | Wendy Jessica Amezcua | Physician Assistant | 7798 Cherry Ave, Fontana, CA 92336-4014 | 2008-09-26 |
| 1275717506 | Alfonso Becerra Jr. | Physician Assistant | 17051 Sierra Lakes Pkwy, Fontana, CA 92336-1274 | 2007-12-21 |
| 1700937737 | Velma L. Perdue | Physician Assistant | 8110 Mango Ave, Fontana, CA 92335 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
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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.