Stephanie Green (NPI# 1114045200, PAC ID# 0547409708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114045200 |
| PAC ID by PECOS | 0547409708 |
| Professional Enrollment ID | I20161010002061 |
| Full Name | Stephanie Green |
| Organization Legal Name | COUNTY OF LOS ANGELES |
| Address |
1212 Pico St San Fernando CA 91340-3503 |
| Phone Number | 8188376969 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1850296534 |
| Number of Group Practice Members | 216 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050040 | LAC/OLIVE VIEW-UCLA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1212 Pico St, San Fernando, CA 91340-3503 | 8188376969 | COUNTY OF LOS ANGELES |
| Organization Legal Name | COUNTY OF LOS ANGELES |
| Physicians | 203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Masukawa | Family Medicine | County of Los Angeles | 7515 Van Nuys Blvd, Van Nuys, CA 91405-1949 |
| Jennifer Auf Der Springe | Family Medicine | County of Los Angeles | 10005 Flower St, Bellflower, CA 90706-5412 |
| Margarita Monterde | Nurse Practitioner | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Natalie Pierre Oduwo-oketch | Nurse Practitioner | County of Los Angeles | 335 E Ave I, Lancaster, CA 93535-1916 |
| Hui L Huang | Internal Medicine | County of Los Angeles | 5850 S Main St, Los Angeles, CA 90003-1215 |
| Lavanya Chadalavada | Internal Medicine | County of Los Angeles | 2829 S Grand Ave, Los Angeles, CA 90007-3304 |
| Kusum L Chaudry | Internal Medicine | County of Los Angeles | 335 E Ave, K6, Lancaster, CA 93535-4645 |
| Alvin Kong | Internal Medicine | County of Los Angeles | 15930 Central Ave, La Puente, CA 91744-5410 |
| Nisha E Hatia | Nurse Practitioner | County of Los Angeles | 10953 Ramona Blvd, El Monte, CA 91731-2629 |
| Violeta Vallejo-sinavsky | Internal Medicine | County of Los Angeles | 123 W Manchester Blvd, Inglewood, CA 90301-1753 |
| Street Address |
1212 PICO ST |
| City | SAN FERNANDO |
| State | CA |
| Zip | 91340-3503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margarita Monterde | Nurse Practitioner | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Mansour Raji | Obstetrics/gynecology | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Nasser A Abdo | Internal Medicine | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Jungeun Kim | Nurse Practitioner | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Seung S Choi | Nurse Practitioner | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Jennifer C Chen | Internal Medicine | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Dieu Thu K Nguyen | Internal Medicine | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Vishakalakshmi Subbiah | Family Medicine | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Alisa Bekker Nemirovsky | Internal Medicine | County of Los Angeles | 1212 Pico St, San Fernando, CA 91340-3503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Silvia E Hernandez | Clinical Social Worker | 1056 N Maclay Ave, Suite A, San Fernando, CA 91340-1326 | |
| Robert Partovy | General Practice | Noble Care Medical Group Inc | 501 N Maclay Ave, San Fernando, CA 91340-2424 |
| Bruce Park Hector | General Practice | Noble Care Medical Group Inc | 501 N Maclay Ave, San Fernando, CA 91340-2424 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Sylvia Nobore | Nurse Practitioner | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Rowena R Alcantara Fernandez | Nurse Practitioner | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Nancy E Fitts | Family Medicine | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Saara A Niamat | Physician Assistant | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Marian N Serunjogi | Nurse Practitioner | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Sandra A Guerrero | Clinical Social Worker | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Find all physicians in zip 91340 | |||
| City | SAN FERNANDO |
| Zip Code | 91340 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN FERNANDO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stephanie Green.
| 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.