Gilbert E Greene, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A4367 Issued in CA

Practice address

1307 N Commerce St
Stockton, CA 95202-1012

Phone

(209) 464-7757

Fax

(209) 464-7761

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family PracticeAlso: Addiction Medicine, Emergency Medicine

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda L. Holiday, MSN/FNP-C

  • Family Nurse Practitioner
  • Stockton, CA
  • NPI 1306839352
  Medicare reassignment

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.

• Luigi C. Pacini M.D. Inc.

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1255490231
  NPD (past) Authorized official
• Medmark Treatment Centers - Fresno West, Inc.

  • Methadone Clinic
  • Fresno, CA
  • NPI 1568676575
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  Care Compare affiliation

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1124007430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N COMMERCE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021012",
            "telephone_number": "209-464-7757",
            "fax_number": "209-464-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N COMMERCE ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021012",
            "telephone_number": "209-464-7757",
            "fax_number": "209-464-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "GILBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A4367",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Rowand Green, R.PH.
• Phyllis Louise Green
• Rachael Christine Green
• Shawna Green
• Blair Greenberg I
• Prince Allan Greene Jr.
• Gloria Ann Greening, PSYCHIATRIC TECHNICI
• Edward C. Greenleaf, M.D.
• Kasandra Marilyn Greenlee
• Mylaysia McClanahan Greenwood, ACSW

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.