Individual provider Active NPI

Cathy Weiss Green, M.D.

  • Allergy & Immunology Physician
  • Santa Monica, CA
National Provider Identifier
1043247661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G70242 Issued in CA
Practice address
1301 20TH Street
Suite 220
Santa Monica, CA 90404-2080
Phone
(310) 828-8534
Fax
(310) 453-8468
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G70242 CA Primary

Addresses

Primary practice location

1301 20TH Street
Suite 220
Santa Monica, CA 90404-2080

Mailing address

1301 20TH Street
Suite 220
Santa Monica, CA 90404-2080
Phone (310) 828-8534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70424CAMDPharmacist
G70242CAMDAllergy & Immunology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043247661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH STREET",
            "address_2": "SUITE 220",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042080",
            "telephone_number": "310-828-8534",
            "fax_number": "310-453-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH STREET",
            "address_2": "SUITE 220",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042080",
            "telephone_number": "310-828-8534",
            "fax_number": "310-453-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS GREEN",
        "first_name": "CATHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G70242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.