Active NPI
Joseph Leon Greene, RN
- Emergency Registered Nurse
- Valencia, CA
National Provider Identifier
1003436726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 596225
- Practice address
- 23845 McBean Pkwy
Valencia, CA 91355-2001 - Phone
- (661) 200-1601
- NPI assigned
- Apr 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 596225 | CA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 596225 | CA | |
| Emergency Registered Nurse | 163WE0003X | 596225 | CA | Primary |
Addresses
Primary practice location
23845 McBean Pkwy
Valencia, CA 91355-2001
Mailing address
25426 Via Pacifica
Valencia, CA 91355-2617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596225 | Other | CA | BOARD OF REGISTERED NURSING LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | greenejl@henrymayo.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 596225 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1003436726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25426 VIA PACIFICA",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23845 MCBEAN PKWY",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552001",
"telephone_number": "661-200-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "JOSEPH",
"middle_name": "LEON",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "CA",
"license": "596225",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "596225",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "596225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTERED NURSING LICENSE",
"identifier": "596225",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "greenejl@henrymayo.com",
"affiliation": "Y",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23845 McBean Pkwy",
"city": "Valencia",
"state": "CA",
"country_code": "US",
"postal_code": "913552001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.