LYDIA GREEN MD INC (NPI# 1861056228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861056228 |
| Entity Type | Organization |
| Organization Name | LYDIA GREEN MD INC |
| Practice Address |
1600 W Avenue J Lancaster CA 93534-2814 |
| Mailing Address |
2851 W 120th St Ste E-134 Hawthorne CA 90250-3395 |
| Practice Telephone | 3236911772 |
| Mailing Telephone | 3236911772 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | LYDIA GREEN (OWNER) |
| Authorized Official Telephone | 3236911772 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1600 W AVENUE J |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236025 | James Helfrich Mcmillan | Obstetrics & Gynecology | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2005-06-25 |
| 1376144840 | Christina Trieu | Occupational Therapist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-11-02 |
| 1770180382 | Antelope Valley Inpatient Pediatric Associates, Inc | Pediatrics | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-10-06 |
| 1679180574 | Beena Batna | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-09-25 |
| 1538772090 | Stephanie N Smith | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-08-25 |
| 1134746639 | Jeremy Ryan Kennedy | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-06-30 |
| 1295366656 | Sam Joed Abid IIi | Pharmacist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-02-03 |
| 1316584907 | Christopher Timothy Pereida | Clinic/Center | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-12-03 |
| 1568013142 | David Thai | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-09-24 |
| 1356997050 | Glenn Gabrang | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2019-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962911750 | Keystone Functional Medicine, PC | General Practice | 1689 Crown Ave Ste 5, Lancaster, PA 17601 | 2017-09-25 |
| 1073952669 | Robert Colvin Krissinger | General Practice | 1878 Villa Ct, Lancaster, PA 17603-2386 | 2013-06-18 |
| 1831438639 | Leigh Wakefield Kendall | General Practice | 1832 Apostle Way, Lancaster, PA 17603-2300 | 2013-02-14 |
| 1699810044 | Melquiades Rivero Valenzuela | General Practice | 43841 10th St W, Lancaster, CA 93534-4802 | 2007-02-21 |
| 1558371567 | Christine M Helbling | General Practice | 43839 N 15th St West, High Desert Medical Group, Lancaster, CA 93534 | 2006-08-09 |
| 1154382505 | Jerome Krumpelman | General Practice | 51 Back Creek Rd, Lancaster, KY 40444-8566 | 2006-03-28 |
| 1487633996 | Steven D Green | General Practice | 405 Danville St, Lancaster, KY 40444-1150 | 2006-01-12 |
| 1194217588 | Hmg Health Care | General Practice | 44215 15th Street West, Suite 315, Lancaster, CA 93534-5505 | 2018-06-01 |
| 1053726695 | Na Jen | General Practice | 43839 15th St W, Lancaster, CA 93534-4756 | 2014-06-23 |
| 1043568066 | A V Family Medicine Inc. | General Practice | 43841 10th St W, Lancaster, CA 93534-4802 | 2012-08-23 |
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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.