Tyler Scott Green (NPI# 1629412937, PAC ID# 0446581516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1629412937 |
| PAC ID by PECOS | 0446581516 |
| Professional Enrollment ID | I20191004000869 |
| Full Name | Tyler Scott Green |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
| Address |
9400 Campus Point Dr La Jolla CA 92093-1350 |
| Phone Number | 8586577000 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3577476761 |
| Number of Group Practice Members | 1362 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050025 | UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 9400 Campus Point Dr, La Jolla, CA 92093-1350 | 8586577000 | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP |
| Physicians | 1515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Willis | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 140 Arbor Dr, San Diego, CA 92103-2007 |
| Priti Ojha | Psychiatry | Regents of The University of California - Ucsd Medical Group | 1350 S El Camino Real, Encinitas, CA 92024-4904 |
| Kenneth N Halter | Physician Assistant | Regents of The University of California - Ucsd Medical Group | 4168 Front St, San Diego, CA 92103-2030 |
| Ana T Kukulj | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 9350 Campus Point Dr, La Jolla, CA 92037-1300 |
| Andrew Sharabi | Radiation Oncology | Regents of The University of California - Ucsd Medical Group | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 |
| Kyle P Edmonds | Hospice/palliative Care | Regents of The University of California - Ucsd Medical Group | 9300 Campus Point Dr, La Jolla, CA 92037-1300 |
| Christopher W Heichel | Ophthalmology | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Ramin Motarjemi | Geriatric Medicine | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-3109 |
| Benjamin D Yu | Dermatology | Regents of The University of California - Ucsd Medical Group | 8899 University Ln, Ucsd Univ Pac Cntr, San Diego, CA 92122-1010 |
| Martin L Kabongo | Family Medicine | Regents of The University of California - Ucsd Medical Group | 330 Lewis St, San Diego, CA 92103-2108 |
| Street Address |
9400 CAMPUS POINT DR |
| City | LA JOLLA |
| State | CA |
| Zip | 92093-1350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen C.l. Chen | Diagnostic Radiology | Regents of The University of California Ucsd Department of Radiology | 9427 Health Sciences Dr, La Jolla, CA 92093-0997 |
| Christopher W Heichel | Ophthalmology | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Robert N Weinreb | Ophthalmology | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Anne B Lam | Optometry | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Heather R Orosco | Physician Assistant | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Lara D Hustana | Optometry | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Pamela A Hoo | Optometry | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| John R Slight | Ophthalmology | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Stuart Brown | Ophthalmology | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Peter J Savino | Ophthalmology | Regents of The University of California - Ucsd Medical Group | 9415 Campus Point Dr, La Jolla, CA 92093-1350 |
| Find all physicians in zip 92093 | |||
| City | LA JOLLA |
| Zip Code | 92093 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LA JOLLA + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.