NELLA GREEN (NPI# 1538393699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538393699 |
| Entity Type | Individual |
| Full Name | NELLA GREEN |
| Credential | M.D. |
| Practice Address |
15644 Pomerado Rd Suite 202 Poway CA 92064-2400 |
| Mailing Address |
Po Box 1770 La Mesa CA 91944-1770 |
| Practice Telephone | 8583125459 |
| Practice Fax Number | 8583453743 |
| Mailing Telephone | 8583125459 |
| Mailing Fax Number | 8583453743 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A113685 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
A113685 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
15644 POMERADO RD SUITE 202 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578529731 | Paul Neustein | Urology | 15644 Pomerado Rd, Suite 206, Poway, CA 92064-2400 | 2006-04-25 |
| 1720565526 | Kimberly Nicole Skillicorn | Psychologist | 15644 Pomerado Rd, Poway, CA 92064-2400 | 2018-07-24 |
| 1811445646 | Pacifico West Rx, Inc. | Pharmacy | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2016-09-21 |
| 1164885869 | Lauren Elisabeth Pichard | Psychologist | 15644 Pomerado Rd, Suite 305, Poway, CA 92064-2400 | 2016-03-30 |
| 1285090902 | Jocelyn Moll | Nurse Practitioner | 15644 Pomerado Rd, Ste 206, Poway, CA 92064-2419 | 2016-01-11 |
| 1922485176 | Janet Wells | Acupuncturist | 15644 Pomerado Rd, Suite 306, Poway, CA 92064-2419 | 2015-04-27 |
| 1811399660 | Katherine Fleming | Physician Assistant | 15644 Pomerado Rd, Suite 202, Poway, CA 92064-2400 | 2014-09-24 |
| 1467882779 | Thrive Rx Specialty Pharmacy Corporation | Pharmacy | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2013-11-22 |
| 1346675618 | Resetsleepcom Inc | Clinic/Center | 15644 Pomerado Rd, Suite 200, Poway, CA 92064-2400 | 2013-09-05 |
| 1508203506 | Maryna Blom | Pharmacist | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225153737 | Roger A. Bitar | Internal Medicine | 15644 Pomerado Rd, Suite 202, Poway, CA 92064-2400 | 2007-03-21 |
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|---|---|---|---|---|
| 1710527452 | Minal Kapoor Md PC | Internal Medicine | 14901 National Ave Ste 202, Los Gatos, CA 95032-2637 | 2020-01-10 |
| 1285271247 | Sandeep Kumar Bansil Md Inc | Internal Medicine | 641 S Primrose St, La Habra, CA 90631-9245 | 2019-12-09 |
| 1356906739 | Joshua Wolfsohn Do Inc | Internal Medicine | 4000 Calle Tecate Ste 220, Camarillo, CA 93012-5289 | 2019-05-01 |
| 1598224222 | Andrew Markus Faulk | Internal Medicine | 2121 Webster St Apt 605, San Francisco, CA 94115-7812 | 2019-03-12 |
| 1205305026 | Wilbert C Jordan Md Inc | Internal Medicine | 16660 Paramount Blvd Ste 303, Paramount, CA 90723-5459 | 2018-11-21 |
| 1295182335 | East Bay Area Quality Health Corporation | Internal Medicine | 400 29th Ave, Suite 501, Oakland, CA 94601-2106 | 2016-05-18 |
| 1174985451 | Nicholas Robert Degner | Internal Medicine | 705 San Carlo Ave, Colton, CA 92324-6864 | 2016-03-24 |
| 1184084865 | Mohammad Yousef Alkhatib Md Inc | Internal Medicine | 79405 Highway 111 Ste 9-334, La Quinta, CA 92253-8300 | 2016-02-24 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1407239700 | Alan Koff | Internal Medicine | 4860 Y St Ste 0101, Sacramento, CA 95817-2307 | 2015-07-04 |
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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.