DR. WENDY L GREEN (NPI# 1164667697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164667697 |
| Entity Type | Individual |
| Full Name | DR. WENDY L GREEN |
| Credential | MD |
| Practice Address |
3834 S Western Ave Los Angeles CA 90062-1104 |
| Practice Telephone | 3237301920 |
| Practice Fax Number | 3237301820 |
| Mailing Telephone | 3237301920 |
| Mailing Fax Number | 3237301820 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A36437 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790281129 | Wendy Marie Green | Dietitian, Registered | 6124 E Brown Rd Ste 102, Mesa, AZ 85205-4959 | 2018-04-04 |
| 1558502286 | Wendy J Green | Pharmacist | 5814 Windy Knoll Ln, Rosharon, TX 77583-2058 | 2009-03-09 |
| 1225227002 | Wendy Penelope Green | Naturopath | 18 Myrtle St., Medford, OR 97504 | 2007-10-17 |
| 1891143921 | Wendy Green | Social Worker | 1775 Grand Concourse, 8th Floor, Bronx, NY 10453-8202 | 2016-05-31 |
| 1396994703 | Wendy Rebecca Green | Speech-Language Pathologist | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2008-09-10 |
| Street Address |
3834 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90062-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366487225 | Derrick Lamont Butler | Family Medicine | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2006-06-17 |
| 1083182042 | Jessica Tsay | Physician Assistant | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2018-11-07 |
| 1558845792 | Mojdeh Tabibian | Family Medicine | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2018-09-24 |
| 1679050280 | Cynthia Thanh Ly | Physician Assistant | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2018-07-26 |
| 1316443799 | Nancy Elizabeth Gonzalez | Nurse Practitioner | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2018-04-04 |
| 1790213007 | Jane Erinma Ukandu | Nurse Practitioner | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2017-05-31 |
| 1952754822 | Tina Brenner | Physician Assistant | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2016-07-15 |
| 1972974269 | Christina Cady | Physician Assistant | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2015-10-12 |
| 1053657791 | Wendy Caroline Monteon | Physician Assistant | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2012-12-28 |
| 1366770067 | Elaine G. Williams | Nutritionist | 3834 S Western Ave, Los Angeles, CA 90062-1104 | 2009-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| 1083194773 | Day One Detox Center, Inc | Substance Abuse Rehabilitation Facility | 1421 W 46th St, Los Angeles, CA 90062 | 2018-08-21 |
| 1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
| 1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
| 1033535794 | Trusana Monique Hall | Licensed Vocational Nurse | 4103 S. Halldale Ave, Los Angeles, CA 90062 | 2014-03-05 |
| 1093139644 | Daniel Garcia | Rehabilitation Practitioner | 3381 Western Ave., Los Angeles, CA 90062 | 2014-02-18 |
| 1689003790 | Crystal Vernon | Case Manager/Care Coordinator | 3881 S. Western Avenue, Los Angeles, CA 90062 | 2013-11-08 |
| 1184902934 | Gerry Lynn Lockhart | Case Manager/Care Coordinator | 3881 S Western Avenue, Los Angeles, CA 90062 | 2011-07-28 |
| 1285921692 | Atlantic Recovery Services | Community/Behavioral Health | 1701 Browning Street, Los Angeles, CA 90062 | 2011-07-06 |
| 1174796452 | Tacora Leggett | Counselor | 5311 S Western Avenue, Los Angeles, CA 90062 | 2008-04-08 |
| Find all providers in zip 90062 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710445283 | West Tower Pediatrics | Pediatrics | 8635 W 3rd St Ste 260w, Los Angeles, CA 90048-6113 | 2019-03-04 |
| 1609368471 | Children's Health Alliance of Medical Providers, Inc. | Pediatrics | 4601 W Sunset Blvd, Los Angeles, CA 90027-6020 | 2018-06-06 |
| 1245771674 | Anna Cushing | Pediatrics | 4650 W Sunset Blvd Ms# 113, Los Angeles, CA 90027-6062 | 2017-03-18 |
| 1528501822 | Harmanpreet Chawla | Pediatrics | 444 S Kingsley Dr, Apt 149, Los Angeles, CA 90020-3267 | 2016-11-18 |
| 1104276229 | Stephanie Mai Lan Be | Pediatrics | 8731 W Pico Blvd, Los Angeles, CA 90035-2205 | 2016-06-20 |
| 1063869196 | John Banks Harlow | Pediatrics | 807 Hyperion Ave, Apt 7, Los Angeles, CA 90029-3157 | 2016-05-18 |
| 1679935811 | Patricia F. Villegas | Pediatrics | 2010 Zonal Ave Fl Opd5, Los Angeles, CA 90033 | 2016-03-27 |
| 1457710808 | Barry Charles Smith | Pediatrics | 10637 Wilkins Ave, Unit 2, Los Angeles, CA 90024-5870 | 2016-02-14 |
| 1275911364 | Eric Tsay | Pediatrics | 10833 Le Conte Ave # 22-315, Los Angeles, CA 90095-3075 | 2015-05-11 |
| 1609253566 | Sinai Pediatrics | Pediatrics | 151 S Almont Dr, Los Angeles, CA 90048-2910 | 2015-04-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90062 |
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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.