Active NPI
Beth F Green, MD
- Ophthalmology Physician
- Los Gatos, CA
National Provider Identifier
1013082072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G64847
- Practice address
- 250 Almendra Ave
Los Gatos, CA 95030-7211 - Phone
- (408) 399-9009
- Fax
- (408) 399-9073
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G64847 | CA | Primary |
Addresses
Primary practice location
250 Almendra Ave
Los Gatos, CA 95030-7211
Mailing address
250 Almendra Ave
Los Gatos, CA 95030-7211
Phone (408) 399-9009
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64847 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1013082072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 ALMENDRA AVE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950307211",
"telephone_number": "408-399-9009",
"fax_number": "408-399-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 ALMENDRA AVE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950307211",
"telephone_number": "408-399-9009",
"fax_number": "408-399-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BETH",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G64847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.