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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
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 |
Street Address |
401 S TUSTIN ST BLDG C |
City | ORANGE |
State | CA |
Zip Code | 92866-2550 |
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 |
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 Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
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 |
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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.