Individual provider Active NPI

Brandy Nicole Greene, M.D.

  • Anesthesiology Physician
  • Sacramento, CA
National Provider Identifier
1043453376
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A113668 Issued in CA
Practice address
3315 Watt Ave
Sacramento, CA 95821-3600
Phone
(916) 481-0777
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A113668 CA Primary

Addresses

Primary practice location

3315 Watt Ave
Sacramento, CA 95821-3600

Mailing address

3315 Watt Ave
Sacramento, CA 95821-3600
Phone (916) 481-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220001169 CA Practitioner - Anesthesiology 5890925739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113668CAMDClinical Social Worker
A113668CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Anesthesia Service Exchange Medical Group, Inc. Anesthesiology CurrentSince Jan 6, 2014 Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Jul 3, 2023 Accepting new patients
Sacsolano Anesthesia Exchange Medical Group, Inc Anesthesiology Past Accepting new patients

Locations

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

3315 Watt Ave
Sacramento, CA 95821
Phone (916) 481-0777

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

100 Park Pl
Ste 200
San Ramon, CA 94583
Phone (925) 867-1800

100 N Wiget Ln
Ste 140
Walnut Creek, CA 94598
Phone (530) 758-2324

133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400

365 Lennon Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 929-4600

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

460 N Wiget Ln
Ste C
Walnut Creek, CA 94598
Phone (925) 378-4949

100 N Wiget Ln
Walnut Creek, CA 94598
Phone (530) 758-2324

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1043453376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 WATT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213600",
            "telephone_number": "916-481-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 WATT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213600",
            "telephone_number": "916-481-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BRANDY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A113668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.