RICHARD MICHAEL GREEN (NPI# 1972540730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972540730 |
| Entity Type | Individual |
| Full Name | RICHARD MICHAEL GREEN |
| Credential | DPM |
| Practice Address |
770 Washington St Suite 202 San Diego CA 92103-2209 |
| Practice Telephone | 6192910777 |
| Practice Fax Number | 6192913231 |
| Mailing Telephone | 6192910777 |
| Mailing Fax Number | 6192913231 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E1311 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | OOOE13110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774734 | Richard Dennis Green | Dentist | 11980 San Vicente Blvd Ste 600, Los Angeles, CA 90049-6604 | 2018-09-18 |
| 1669710919 | Richard Green | Occupational Therapy Assistant | 1168 Huntington Place Cir, Lithonia, GA 30058-3034 | 2013-01-22 |
| 1083928139 | Richard Charles Green | Massage Therapist | 5526 Nw 29th St, Gainesville, FL 32653-1861 | 2010-07-31 |
| 1801069273 | Richard J. Green | Hearing Instrument Specialist | 1817 N Union Blvd, Suite C, Colorado Springs, CO 80909-2268 | 2008-04-08 |
| 1972723617 | Richard Bernard Green | Counselor | 151 Finch Pl Sw Ste C, Bainbridge Island, WA 98110-2588 | 2007-04-26 |
| 1245379619 | Richard John Green | Dentist | 6300 Democracy Blvd, Bethesda, MD 20817-1664 | 2007-02-05 |
| 1134219041 | Richard Lawrence Green | Chiropractor | 4 Avery St, 4th Floor, Boston, MA 02111-1005 | 2006-10-13 |
| 1447355540 | Richard Green | Radiology | 2203 W 116th Pl, Chicago, IL 60643-4735 | 2006-09-13 |
| 1215049762 | Richard Joseph Green IIi | Family Medicine | 213 Vine St, Johnstown, PA 15901-1518 | 2006-08-31 |
| 1326051376 | Richard Brownlow Green | Dentist | 387 Town Mountain Road, Pikeville, KY 41501-1641 | 2006-08-14 |
| Street Address |
770 WASHINGTON ST SUITE 202 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166291 | Richard M Braun | Specialist | 770 Washington St, San Diego, CA 92103-2209 | 2005-09-29 |
| 1003323189 | Sarah Newton Gruszka | Psychologist | 770 Washington St, 200, San Diego, CA 92103-2204 | 2018-01-10 |
| 1144644170 | Artemis Medical Group, Inc. | Clinic/Center | 770 Washington St, Suite 200, San Diego, CA 92103-2209 | 2014-02-11 |
| 1851600076 | John Carroll Schmidt Md Inc | Anesthesiology | 770 Washington St, Suite 101, San Diego, CA 92103-2209 | 2010-10-05 |
| 1144472754 | Vishaal Mehra | Psychiatry & Neurology | 770 Washington St, Suite 200, San Diego, CA 92103-2209 | 2008-10-14 |
| 1588846570 | Richard M. Braun, M.d., Inc. | Specialist | 770 Washington St, Suite 301, San Diego, CA 92103-2209 | 2007-11-30 |
| 1144363052 | Richard M Braun Inc | Specialist | 770 Washington St, #207, San Diego, CA 92103-2209 | 2007-02-14 |
| 1336280031 | Purvi Kothari Mehra | Internal Medicine | 770 Washington St, Suite #200, San Diego, CA 92103-2209 | 2007-02-08 |
| 1528094323 | John C Schmidt | Anesthesiology | 770 Washington St, #101, San Diego, CA 92103-2209 | 2006-06-23 |
| 1801833843 | Donald Robert Green | Podiatrist | 770 Washington St, Suite 202, San Diego, CA 92103-2209 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
| 1295899888 | Podiatry Associates of San Diego | Podiatrist | 3330 Third Avenue #402, San Diego, CA 92103-5639 | 2006-12-20 |
| 1962517508 | Patricia Lynn Forg | Podiatrist | 3989 32nd St, San Diego, CA 92104-2001 | 2006-08-21 |
| 1730111469 | Renee Gregorio | Podiatrist | 3636 5th Ave, #300, San Diego, CA 92103-4230 | 2006-07-06 |
| 1962456400 | Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group | Podiatrist | 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 | 2006-05-20 |
| 1053317545 | Nicholas Nelson Desantis | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2005-06-21 |
| 1013911395 | Sophie I Liu | Podiatrist | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2005-06-02 |
| 1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
| 1295249902 | San Diego Foot & Ankle, Inc | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2017-11-17 |
| 1770014516 | James Willmore | Podiatrist | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2017-03-23 |
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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.