Active NPI
Douglas Allen Green, M.D., PH.D.
- Diagnostic Radiology Physician
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 3992-320
- Practice address
- 31700 Temecula Pkwy
Temecula, CA 92592-5896 - Phone
- (951) 600-3811
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 3992-320 | WI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MC-207 | GU | |
| Diagnostic Radiology Physician | 2085R0202X | MD-52680 | IA | |
| General Practice Physician | 208D00000X | A100113 | CA | |
| Neuroradiology Physician | 2085N0700X | A100113 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | A100113 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 16698C | WY |
Addresses
Primary practice location
31700 Temecula Pkwy
Temecula, CA 92592-5896
Mailing address
PO Box 2389
Temecula, CA 92593-2389
Phone (951) 600-3811
Other practice location 1
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-3375
Other practice location 2
6000 State Farm Dr Ste 150
Rohnert Park, CA 94928-2226
Phone (707) 576-4392
Other practice location 3
500 E Market St
Iowa City, IA 52245-2633
Phone (833) 228-6889
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A1001130 | Other | CA | BS OF CA |
| 1164635173 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GU, SC, IA, WY, SD, WI, IL, NC, MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130110000588 | CA | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 19 organizations |
| I20240424002152 | GU | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 3 organizations |
| I20240424004185 | SC | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 2 organizations |
| I20240516003005 | IA | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 2 organizations |
| I20240730002556 | WY | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 2 organizations |
| I20240909000420 | SD | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 2 organizations |
| I20240917003167 | WI | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 2 organizations |
| I20241025001992 | IL | Practitioner - Diagnostic Radiology | 0042489668 | |
| I20241025002102 | NC | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 3 organizations |
| I20241031003236 | MA | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 3 organizations |
| I20241108003323 | TX | Practitioner - Diagnostic Radiology | 0042489668 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Cumberland County Hospital System IncSpartanburg Medical CenterGuam Healthcare Development IncorporatedMemorial Hospital of Sheridan CountyUsc Care Medical Group IncArch Health Partners IncMcFarland Clinic PCAvera McKennanDiagnostic Radiology PCAllen Memorial Hospital CorporationRadiant Imaging IncEast Georgia Radiology LLCState University of IowaRadiology Consultants LTDRiverbend Medical Group IncBaptist Physician NetworkFreeport Memorial HospitalScotland Memorial Hospital, IncHolyoke Medical Center IncGuam Memorial Hospital
Practice addresses (Care Compare)
San Diego, CA 92130
Phone (910) 615-4000
101 E Wood St
Spartanburg, SC 29303-3040
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000
1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100
1609 Stewart St
Oceanside, CA 92054-5947
Phone (515) 239-4456
2125 Citracado Pkwy
Escondido, CA 92029-4159
22711 Carancho Rd
Temecula, CA 92590-4046
Phone (605) 322-4878
230 Main St
Agawam, MA 01001-1838
Phone (413) 789-6800
3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000
315 Calle Pescador
San Clemente, CA 92672-2206
Phone (815) 599-7935
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172
575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
Hospital & facility affiliations
- Palomar Health Downtown Campus
- Glendale Adventist Medical Center
- Palomar Medical Center Poway
- Adventist Health Simi Valley
- Adventist Health Bakersfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3992-320 | WI | MD | Diagnostic Radiology Physician |
Practice roles (60 of 64)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients | |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Mahaska County Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Holyoke Medical Center, Inc. | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Radiant Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Diagnostic Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Guam X-Ray | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Spartanburg Medical Center | Neuroradiology | Current | Accepting new patients |
| Madison Community Hospital | Current | Accepting new patients | |
| Baptist Physician Network | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Camelot Radiology Associates LTD | Diagnostic Radiology | Current | Accepting new patients |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| Henry County Health Center, Inc. | Current | Accepting new patients | |
| Henry County Health Center Inc | General Practice | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Diagnostic Radiology | Current | Accepting new patients |
| Gibson Community Hospital Association | Current | Accepting new patients | |
| East Georgia Radiology LLC | Neuroradiology | Current | Accepting new patients |
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Avera McKennan | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Arch Health Partners, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| Madison Community Hospital | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Diagnostic Radiology | Current | Accepting new patients |
| McFarland Clinic PC | Current | Accepting new patients | |
| Valley Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Big Horn Health Network | Current | Accepting new patients | |
| Valley Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Radiology Consultants of Iowa, PLC | Diagnostic Radiology | Current | Accepting new patients |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Arch Health Partners | Current | Accepting new patients | |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Allen Memorial Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Riverbend Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiology of Anderson, P.a. | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 67)
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
1450 San Pablo St
Ste 3500
Los Angeles, CA 90033
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
6000 State Farm Dr
Ste 150
Rohnert Park, CA 94928
Phone (707) 559-7600
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
4653 Carmel Mountain Rd
San Diego, CA 92130
Phone (858) 330-0065
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376
Interoperability endpoints
- douglas.green.p1@direct.arch.nextgenshare.com
- dgreen2974305@carolinashealthcaresystem.direct-ci.com
- dgreen1092077@direct.unitypoint.org
Organizations & group practices 144
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.
-
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Arcadia, CA
- NPI 1437583200
CA, Diagnostic Radiology
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
CA, Diagnostic Radiology
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Omaha, NE
- NPI 1497713291
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Statesboro, GA
- NPI 1003973207
CA, Neuroradiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1164635173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2389",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925932389",
"telephone_number": "951-600-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31700 TEMECULA PKWY",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925896",
"telephone_number": "951-600-3811"
}
],
"practiceLocations": [
{
"address_1": "701 W Forevergreen Rd",
"address_purpose": "LOCATION",
"city": "North Liberty",
"state": "IA",
"postal_code": "523179848",
"country_code": "US",
"telephone_number": "319-356-3375",
"fax_number": "319-356-3949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 State Farm Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Rohnert Park",
"state": "CA",
"postal_code": "949282226",
"country_code": "US",
"telephone_number": "707-576-4392",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 E Market St",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522452633",
"country_code": "US",
"telephone_number": "833-228-6889",
"fax_number": "877-853-0376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "DOUGLAS",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "3992-320",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "MC-207",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "MD-52680",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A100113",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "A100113",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A100113",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WY",
"license": "16698C",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF CA",
"identifier": "00A1001130",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164635173",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.