ERIC ANTHONY GREEN


Address: 401 S Tustin St Bldg C, Orange, CA 92866-2550
Phone: 7143614860

ERIC ANTHONY GREEN (NPI# 1548761547) 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) 1548761547
Entity Type Individual
Full Name ERIC ANTHONY GREEN
Practice Address 401 S Tustin St Bldg C
Orange
CA 92866-2550
Mailing Address 401 S Tustin St
Orange
CA 92866-2550
Practice Telephone 7143614860
Mailing Telephone 7143614860
Enumeration Date 2018-02-24
Last Update Date 2018-02-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers ERIC GREEN

NPI Name Taxonomy Address Enumeration
1689182511 Eric Melvin Green Case Manager/Care Coordinator 2038 24th Ave. Se, Norman, OK 73071 2018-01-12
1669810610 Eric A Green Audiologist 92 Broadway Ste B, Denville, NJ 07834-2733 2013-06-12
1467769588 Eric Douglas Green Pathology Nih 31 Center Dr, Building 31, Room 4b09, Bethesda, MD 20892-0001 2010-09-10
1629391446 Eric Ross Green Specialist Fairfax Road At Virginia St., Salt Lake City, UT 84103-4399 2010-03-08
1093326340 Eric Neal Green Registered Nurse 2600 Sw Holden St, Seattle, WA 98126-3505 2020-08-11
1609366293 Eric Green Counselor 119 Rue Fountaine, Lafayette, LA 70508-5744 2018-05-18
1871011064 Eric Demond Green Driver 90 Pine St, Shepherd, TX 77371 2017-09-07
1447796875 Eric Green Nurse Practitioner 1520 N Division St, Blytheville, AR 72315-1448 2017-01-09
1316284706 Eric Douglas Green Rehabilitation Counselor 5000 W National Ave, Milwaukee, WI 53295-0001 2013-01-07
1235483793 Eric L Green Physical Therapy Assistant 257 Sw Dade St, Madison, FL 32340-2361 2012-11-06

Office Location

Street Address 401 S TUSTIN ST BLDG C
City ORANGE
State CA
Zip Code 92866-2550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801135348 Alma Moreno-salas Counselor 401 S Tustin St Bldg C, Orange, CA 92866-2550 2013-02-04
1699393413 Daneeka Wood Social Worker 401 S Tustin St Bldg C, Orange, CA 92866-2550 2020-07-08
1255975801 Alycia Grace Wallace Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2019-11-06
1699238444 David Hao Tien Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2019-04-09
1861998882 Daniel Edmund Verdugo Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2018-03-30
1578064457 Alejandra Lizett Guevara Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2018-02-26
1841791050 Joseph John Maiorana Jr. Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2018-02-22
1962902239 Ariel Noelle Konneker Nutritionist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2018-02-13
1447768999 Robert Lynn Mclachlan I Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2018-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386277499 Jessica Hsu, M.d.,inc Dermatology 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 2020-02-17
1477114122 Beverley P Brownell Nurse Practitioner 1215 E. Chapman Avenue, Orange, CA 92866 2019-06-24
1528539442 Brian Chau Pharmacist 1538 E. Chapman Ave, Orange, CA 92866 2018-12-17
1891214599 Nancy Lee Mcdonald Registered Nurse 700 Sout Tustin, Orange, CA 92866 2017-09-13
1962932541 Hao Phu Nguyen Counselor 401 S. Tustin Street, Building D, Orange, CA 92866 2017-06-15
1932567377 Lori Lynn Hughes Psychologist 734 E. Chapman Ave., Suite 734, Orange, CA 92866 2016-01-30
1417291360 Lori Ann Bartczak Speech-Language Pathologist 393 S. Tustin St., Orange, CA 92866 2012-11-15
1497046064 Pacific Shore Surgery Center Clinic/Center 302 W. Laveta Ave, Suite 100, Orange, CA 92866 2011-04-29
1871805127 Spring Medley Peavy Nurse Practitioner 1040 E. Chapman Ave, Orange, CA 92866 2010-07-01
1790956084 Kevin Robert Franks Dentist 532 E Chapman Ave, Orange, CA 92866 2008-03-14
Find all providers in zip 92866

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700437571 Edith Silva Peer Specialist 131 W Main St Ste 101, Orange, MA 01364-1157 2019-09-24
1386110690 Tara Nicole Pitterson Peer Specialist 401 S Tustin Street, Building C, Orange, CA 92866-2550 2018-10-15
1255975801 Alycia Grace Wallace Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2019-11-06
1992348767 Janice Jones Peer Specialist 401 S Tustin St, Orange, CA 92866-2550 2019-10-23
1871143529 James Michael Plaza Peer Specialist 131 W Main St, Orange, MA 01364-1150 2019-09-15
1699238444 David Hao Tien Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2019-04-09
1922578590 Kenya Denise Bradley Peer Specialist 401 S Tustin St, Orange, CA 92866 2018-11-27
1467920561 Jason Stentz Peer Specialist 401 S Tustin St, Orange, CA 92866-2550 2018-11-06
1669959292 Orlando Vera Peer Specialist 401 S Tustin St, Orange, CA 92866-2550 2018-07-26
1861998882 Daniel Edmund Verdugo Peer Specialist 401 S Tustin St Bldg C, Orange, CA 92866-2550 2018-03-30
Find all providers in ORANGE

Competitor

Search similar providers

City ORANGE
Zip Code 92866

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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