W Michael Green, MD Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

W MICHAEL GREEN, MD INC

Practice address

2309 Antonio Ave
Pathology Department
Camarillo, CA 93010-1414

Phone

(805) 389-5878

Fax

(805) 389-5883

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Michael Green, M.D.

Title

President

Phone

(805) 482-6233

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Willam M Green, MD Inc Other name

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1063662310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930110986",
            "telephone_number": "805-482-6233",
            "fax_number": "805-389-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 ANTONIO AVE",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101414",
            "telephone_number": "805-389-5878",
            "fax_number": "805-389-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W MICHAEL GREEN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-482-6233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0059650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G19218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willam M Green, MD Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Marie Vrkljan
• Maria Roxanne Monte Vroman
• Anh-Hao Vu, PHARMD
• Thienkim Thai Vu, PHARM D.
• Yen Binh Vu, PHARMD
• Carole Nota Wadsworth, MFT
• Ashley Wagner
• Lauren Marie Wagner, ATC
• Mary-Lynn Wagner
• Kenza Walkowiak-Chevalier

• Anatomic Pathology & Clinical Pathology Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.