JOHN WESLEY GREEN


Address: 1915 D St, Antioch, CA 94509-2571
Phone: 9257543673

JOHN WESLEY GREEN (NPI# 1568966471) 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) 1568966471
Entity Type Individual
Full Name JOHN WESLEY GREEN
Credential RN
Practice Address 1915 D St
Antioch
CA 94509-2571
Practice Telephone 9257543673
Mailing Telephone 9257543673
Enumeration Date 2018-03-23
Last Update Date 2018-03-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
520763 CA Nursing Service Providers

Other Providers JOHN GREEN

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1316133416 John Green Registered Nurse 6724 Castle Creek Dr, Fort Worth, TX 76132-3708 2007-09-21
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1952425605 John Michael Green Jr. Dentist 4608 W 103rd St, Oak Lawn, IL 60453-4719 2007-03-19
1104958495 John M Green Chiropractor 1115 Belcher Lane, Hartsville, TN 37074-3859 2007-03-12
1649318437 John Paul Green Social Worker 54 Willshire Dr, Williamstown, MA 01267-2927 2007-02-02
1114072444 John N Green Internal Medicine 90 Us Highway 22 W, Springfield, NJ 07081-3110 2007-01-25
1114082559 John W. Green Family Medicine 2562 Kinard St, Newberry, SC 29108-2910 2006-12-26

Office Location

Street Address 1915 D ST
City ANTIOCH
State CA
Zip Code 94509-2571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962624734 Lendsey Wayne Busby Counselor 1915 D St, Antioch, CA 94509-2571 2007-05-02
1992318869 Skyler Sanderson Counselor 1915 D St, Antioch, CA 94509-2571 2020-08-28
1336794197 Darnell Lamont Hester Counselor 1915 D St, Antioch, CA 94509-2571 2019-08-07
1720548084 R.e.a.c.h. Project Substance Abuse Rehabilitation Facility 1915 D St, Antioch, CA 94509-2571 2019-03-22
1497215883 R.e.a.c.h. Project Substance Abuse Rehabilitation Facility 1915 D St, Antioch, CA 94509-2571 2019-03-21
1255890760 Bruce John Bauer Counselor 1915 D St, Antioch, CA 94509-2571 2019-03-14
1346708807 Marilyn Anne Mancusi Counselor 1915 D St, Antioch, CA 94509-2571 2019-03-04
1790266393 Letitia Nicole Beshears Counselor 1915 D St, Antioch, CA 94509-2571 2018-08-22
1568951564 Leticia Marie Feliciano Counselor 1915 D St, Antioch, CA 94509-2571 2018-05-04
1699272245 Joseph Victor Gassett Counselor 1915 D St, Antioch, CA 94509-2571 2018-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932733243 A Step Above, LLC Clinic/Center 3648 Delta Fair Blvd., Antioch, CA 94509 2020-02-25
1134751167 Dr. Jeffrey A Saladin, Dental Corporation Dentist 3600 Delta Fair Blvd, Antioch, CA 94509 2020-02-07
1962040865 Melay Goitom Behavioral Analyst 3104 Delta Fair Boulevard, Antioch, CA 94509 2019-12-11
1518525062 James Joseph Cook Counselor 624 W. 14th Street B, Antioch, CA 94509 2019-05-30
1922576438 Wazma Matiee Behavioral Analyst 2009 Asilomar Dr., Antioch, CA 94509 2018-11-02
1346722360 Dharma Rachelle Yancy Behavioral Analyst 3401 Delta Fair Blvd, Antioch, CA 94509 2018-09-06
1912489931 Cristian Cruz Behavioral Analyst 3100-3104 Delta Fair Blvd, Antioch, CA 94509 2018-09-06
1780174052 Melissa Sue Rossi Counselor 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 2018-05-13
1033638085 Elizabeth Marie Artola Counselor 1915 D Street, Antioch, CA 94509 2017-09-11
1144748690 Andrea Michelle Newberry Counselor 55 E.18th St, Antioch, CA 94509 2017-09-05
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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1063660876 Tewanna Ronielle Johnson Registered Nurse 1208 New Lodge Ct, Antioch, SD 37013-3618 2008-09-04

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1083211080 Amy Elizabeth Smith Registered Nurse 783 Augusta Dr, Moraga, CA 94556-1007 2020-10-03
1164039012 Alese Marie Hernandez Registered Nurse 24239 Park St, Torrance, CA 90505-6554 2020-09-24
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1154939163 Gabriela Carrico Registered Nurse 2340 Blue Ridge Ave, Brentwood, CA 94513-4159 2020-07-15
1801412812 Sylvia Dee Weingarden Registered Nurse 22178 Bauhinia Ct, Woodland Hills, CA 91367-7202 2020-06-25
1457976938 Jerrick Ky Xang Padilla-phu Registered Nurse 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 2020-06-10
1952924144 Teresa Zuzalek Registered Nurse 5163 Via Valverde, Santa Barbara, CA 93111-2917 2020-05-21
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Competitor

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City ANTIOCH
Zip Code 94509

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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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