WALTER S GREEN, M.D. MEDICAL CORPORATION (NPI# 1285837120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285837120 |
| Entity Type | Organization |
| Organization Name | WALTER S GREEN, M.D. MEDICAL CORPORATION |
| Practice Address |
8345 Firestone Blvd Ste 310 Downey CA 90241-3872 |
| Practice Telephone | 5629233001 |
| Mailing Telephone | 5629233001 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WALTER S GREEN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 5629233001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A09766 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376746214 | Walter S Green, M.d. Medical Corporation | Specialist | 24411 Health Center Dr Ste 520, Laguna Hills, CA 92653-3633 | 2007-06-07 |
| Street Address |
8345 FIRESTONE BLVD STE 310 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407376940 | Jessica Charlotte Herold | Physician Assistant | 8345 Firestone Blvd Ste 310, Downey, CA 90241 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659815496 | Jennifer C Joswick | Specialist | 8615 Florence Ave Ste 212, Downey, CA 90240-4037 | 2016-12-13 |
| 1427398106 | National Billing and Management LLC | Specialist | 9414 Firestone Blvd, Downey, CA 90241 | 2013-02-18 |
| 1093059180 | Mvp Family Practice & Sports Medicine, Inc | Specialist | 8207 3rd St Ste 205, Downey, CA 90241-3731 | 2012-11-15 |
| 1003145764 | One Stop Multi-specialty Medical Group, Inc. | Specialist | 8607 Imperial Hwy Ste 109, Downey, CA 90242-3947 | 2009-12-09 |
| 1538309067 | Francisco Jose Recalde | Specialist | 1116 Rives Ave, Downey, CA 90241 | 2009-02-24 |
| 1881899391 | Prentice Mitri & Hijazin | Specialist | 10916 Downey Ave, Downey, CA 90241-3709 | 2007-06-15 |
| 1558446476 | Michael C Buchbinder | Specialist | 11546 Downey Ave, Downey, CA 90241-4955 | 2006-10-26 |
| 1356425888 | Downey Dermatologic Medical Group Inc | Specialist | 11480 Brookshire Ave Ste 109, Downey, CA 90241-5022 | 2006-10-24 |
| 1194769232 | Phuong Catherine Truong-yue | Specialist | 8500 Florence Ave Fl 2, Downey, CA 90240-4056 | 2006-06-16 |
| 1659365526 | Howard Wayne Fellows | Specialist | 11480 Brookshire Ave Ste 309, Downey, CA 90241-5025 | 2005-09-07 |
| Find all providers in DOWNEY | ||||
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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.