MR. JOSEPH E GREEN


Address: 140 Sylvester Rd, Bldg 139, San Diego, CA 92106-3521
Phone: 6198083790

MR. JOSEPH E GREEN (NPI# 1265609333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265609333
Entity Type Individual
Full Name MR. JOSEPH E GREEN
Credential IDC
Practice Address 140 Sylvester Rd, Bldg 139
San Diego
CA 92106-3521
Mailing Address 140 Sylvester Rd Bldg 139
San Diego
CA 92106-3521
Practice Telephone 6198083790
Mailing Telephone 6198083790
Enumeration Date 2008-05-08
Last Update Date 2012-03-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
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Office Location

Street Address 140 SYLVESTER RD, BLDG 139
City SAN DIEGO
State CA
Zip Code 92106-3521

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650300 Ktre1, LLC Assisted Living Facility 3219 Canon St., San Diego, CA 92106 2019-07-03
1093289910 Ahsha Smith Occupational Therapist 2026 Roosevelt Road, #105, San Diego, CA 92106 2019-01-14
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1992123285 Mark Wilson Occupational Therapist 2820 Roosevelt Road Ste 105, San Diego, CA 92106 2014-04-03
1659704542 Sarah Hanem Izaguirre Counselor 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 2013-08-14
1285945451 Danielle R Michaelis Castillo Marriage & Family Therapist 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 2010-06-23
1588991145 Philip Charles Rumsey Dentist 1050 Rosecrans St., Suite J, San Diego, CA 92106 2009-11-03
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1548408834 Dolores Sanchez Pullen Counselor 1360 Rosecrans Street, Suite I, San Diego, CA 92106 2009-01-26
1215188362 Jodi Lynn Ceballos Psychologist 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 2008-10-07
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

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Competitor

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City SAN DIEGO
Zip Code 92106

Improve Information

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Dataset Information

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.

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