JAMISON GREEN (NPI# 1033430764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033430764 |
| Entity Type | Individual |
| Full Name | JAMISON GREEN |
| Credential | M.D. |
| Practice Address |
6815 Noble Ave Van Nuys CA 91405-3796 |
| Practice Telephone | 8189016600 |
| Practice Fax Number | 8189977826 |
| Mailing Telephone | 8189016600 |
| Mailing Fax Number | 8189977826 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2015-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6815 NOBLE AVE |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032048 | Jayson A Hymes | Specialist | 6815 Noble Ave, Suite 105, Van Nuys, CA 91405-3796 | 2005-06-09 |
| 1902404635 | Austin Charles Myles Gray | Physical Therapist | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2020-10-14 |
| 1033723945 | Zack Gonzalez | Specialist/Technologist | 6815 Noble Ave, Van Nuys, CA 91405-3730 | 2020-09-08 |
| 1518578772 | Graeme Drew Matthewson | Orthopaedic Surgery | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2020-08-12 |
| 1508417932 | Neil Yasuda | Physician Assistant | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-09-26 |
| 1457811838 | Regents of The University of California | Orthopaedic Surgery | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-03-22 |
| 1457825077 | Jordan Lea Fleming | Physical Therapist | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-01-16 |
| 1336615988 | Regents of The University of California | Licensed Practical Nurse | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2018-10-22 |
| 1992231179 | Eleanora Chamanara | Nurse Practitioner | 6815 Noble Ave, Suite 400, Van Nuys, CA 91405-3796 | 2017-05-05 |
| 1376997312 | Phu-phuc Phan | Physician Assistant | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862628 | Tracy Lara | Student in an Organized Health Care Education/Training Program | 15938 Vanowen St Apt 10, Van Nuys, CA 91406-4978 | 2020-08-19 |
| 1013529585 | Lilit Galstyan | Student in an Organized Health Care Education/Training Program | 13601 Vose St, Van Nuys, CA 91405-3421 | 2020-08-17 |
| 1639781289 | Nathaniel Martin Chard | Student in an Organized Health Care Education/Training Program | 5750 Woodman Ave Apt 2, Van Nuys, CA 91401-4486 | 2020-08-17 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1447743711 | Krystal Ann Galvan | Student in an Organized Health Care Education/Training Program | 15829 Marlin Pl, Van Nuys, CA 91406-5019 | 2018-06-12 |
| 1366800518 | Arcangela Miceli | Student in an Organized Health Care Education/Training Program | 13907 Vanowen Street, 203, Van Nuys, CA 91405-4134 | 2016-02-03 |
| 1093149841 | Hannah S Gustavson | Student in an Organized Health Care Education/Training Program | 17216 Saticoy St, #387, Van Nuys, CA 91406-2103 | 2013-08-29 |
| 1043448277 | Nicholas George Nickols | Student in an Organized Health Care Education/Training Program | 15128 Vose St, Van Nuys, CA 91405-2935 | 2009-06-25 |
| 1518150713 | Danielle Beth Penny | Student in an Organized Health Care Education/Training Program | 14640 Victory Blvd Ste 100, Van Nuys, CA 91411-1623 | 2007-08-21 |
| Find all providers in VAN NUYS | ||||
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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.