ED GREEN CHIROPRACTIC, A PROFESSIONAL CORPORATION (NPI# 1649537721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649537721 |
| Entity Type | Organization |
| Organization Name | ED GREEN CHIROPRACTIC, A PROFESSIONAL CORPORATION |
| Practice Address |
301 Science Dr #100 Moorpark CA 93021-2094 |
| Practice Telephone | 8055311188 |
| Practice Fax Number | 8055311112 |
| Mailing Telephone | 8055311188 |
| Mailing Fax Number | 8055311112 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-06-15 |
| Authorized Official Name | DR. EDWARD GREEN (CHIROPRACTOR/PRESIDENT) |
| Authorized Official Telephone | 8055311188 |
| Authorized Official Credential | D.C, C.C.S.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
29791 | CA | Ambulatory Health Care Facilities |
| Street Address |
301 SCIENCE DR #100 |
| City | MOORPARK |
| State | CA |
| Zip Code | 93021-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025218 | Marc Warren Judd | General Practice | 301 Science Dr, Suite 190, Moorpark, CA 93021-2094 | 2005-07-05 |
| 1184009250 | Dawn Chandler | Marriage & Family Therapist | 301 Science Dr, Suite 120, Moorpark, CA 93021-2094 | 2015-07-29 |
| 1891085155 | Karen Aleece Barbi | Psychologist | 301 Science Dr, Suite 180, Moorpark, CA 93021-2094 | 2011-04-07 |
| 1356630602 | Aimee Elizabeth Anderson | Psychologist | 301 Science Dr, Suite 180, Moorpark, CA 93021-2094 | 2011-04-06 |
| 1508196056 | Edward B Green | Chiropractor | 301 Science Dr, #100, Moorpark, CA 93021-2094 | 2010-01-06 |
| 1548407158 | Kathleen Regina Reazer | Marriage & Family Therapist | 301 Science Dr, #235, Moorpark, CA 93021-2094 | 2009-01-20 |
| 1295904936 | Moorpark Family Medicine Inc | Family Medicine | 301 Science Dr, Suite #190, Moorpark, CA 93021-2094 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1356964761 | Allen Taniguchi | Pharmacist | 12476 Spring Creek Rd, Moorpark, CA 93021 | 2020-05-20 |
| 1538701735 | Lynda L. Bickerstaff | Technician | 6439 Cornell Circle, Moorpark, CA 93021 | 2019-10-09 |
| 1801280615 | Rebecca Solares | Marriage & Family Therapist | 301 Science Dr. Ste 235, Moorpark, CA 93021 | 2015-03-19 |
| 1316347792 | Exovie,llc | Durable Medical Equipment & Medical Supplies | 680 Flinn Ave Ste 38, Moorpark, CA 93021 | 2014-09-04 |
| 1982975280 | Niloufar Parya Hosseini | Pharmacist | 12204 Palmer Drive, Moorpark, CA 93021 | 2012-01-18 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1457541708 | John E. Trachsel A Chiropractic Corp. | Chiropractor | 14711 Princeton Ave., Suite #13, Moopark, CA 93021 | 2007-08-01 |
| 1790998193 | Jedediah Huss Dental Corporation | Dentist | 718 Los Angeles Ave, Suite 3, Moorpark, CA 93021 | 2007-05-08 |
| 1477606945 | Kimberly A Tedder | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2007-01-19 |
| Find all providers in zip 93021 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467607127 | Troy C. Williams, Md Inc. | Clinic/Center | 145 Park Ln Ste 200, Moorpark, CA 93021-2117 | 2008-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1669007274 | Hough Chiropractic Inc | Clinic/Center | 11770 Warner Ave Ste 122, Fountain Valley, CA 92708-2660 | 2020-03-04 |
| 1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
| 1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
| 1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
| 1003440884 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 | 2020-03-02 |
| 1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
| 1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
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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.