Individual provider Active NPI

Douglas Allen Green, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Temecula, CA
National Provider Identifier
1164635173
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3992-320 Issued in WI
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

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A1001130OtherCABS OF CA
1164635173MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU, SC, IA, WY, SD, WI, IL, NC, MA, TX11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
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 Inc 581 clinicians
Spartanburg Medical Center 1,060 clinicians
Guam Healthcare Development Incorporated 211 clinicians
Memorial Hospital of Sheridan County 90 clinicians
Usc Care Medical Group Inc 1,378 clinicians
Arch Health Partners Inc 141 clinicians
McFarland Clinic PC 353 clinicians
Avera McKennan 957 clinicians
Diagnostic Radiology PC 65 clinicians
Allen Memorial Hospital Corporation 149 clinicians
Radiant Imaging Inc 65 clinicians
East Georgia Radiology LLC 44 clinicians
State University of Iowa 1,886 clinicians
Radiology Consultants LTD 35 clinicians
Riverbend Medical Group Inc 227 clinicians
Baptist Physician Network 121 clinicians
Freeport Memorial Hospital 168 clinicians
Scotland Memorial Hospital, Inc 259 clinicians
Holyoke Medical Center Inc 202 clinicians
Guam Memorial Hospital 132 clinicians

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 Hospital, Escondido, CA, CCN 050115
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3992-320WIMDDiagnostic Radiology Physician

Practice roles (60 of 64)

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
State University of Iowa CurrentSince Jul 17, 2024 Accepting new patients
Western Mass Physician Associates Inc Current Accepting new patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Mahaska County Hospital Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 27, 2024 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 2, 2025 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Nov 6, 2024 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Mar 11, 2024 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince May 27, 2025 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Nov 25, 2024 Accepting new patients
Spartanburg Medical Center Neuroradiology CurrentSince Mar 2, 2024 Accepting new patients
Madison Community Hospital CurrentSince Aug 1, 2024 Accepting new patients
Baptist Physician Network CurrentSince Sep 25, 2024 Accepting new patients
Freeport Memorial Hospital CurrentSince Aug 9, 2024 Accepting new patients
Camelot Radiology Associates LTD Diagnostic Radiology CurrentSince Jun 15, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 27, 2024 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Aug 1, 2024 Accepting new patients
Henry County Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Henry County Health Center Inc General Practice CurrentSince Sep 22, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 15, 2025 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Mar 1, 2025 Accepting new patients
Cumberland County Hospital System Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
East Georgia Radiology LLC Neuroradiology CurrentSince Feb 4, 2025 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Jun 19, 2024 Accepting new patients
Arch Health Partners, Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Aug 1, 2024 Accepting new patients
Madison Community Hospital CurrentSince Aug 1, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 2, 2025 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Sutter Bay Medical Foundation Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
McFarland Clinic PC CurrentSince Dec 15, 2024 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Oct 15, 2024 Accepting new patients
Hegg Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 8, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Feb 1, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Aug 1, 2024 Accepting new patients
Big Horn Health Network CurrentSince Mar 1, 2025 Accepting new patients
Valley Radiologists Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince May 27, 2025 Accepting new patients
Radiology Consultants of Iowa, PLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Aug 1, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 8, 2024 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Arch Health Partners CurrentSince Sep 1, 2023 Accepting new patients
Hegg Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince May 20, 2024 Accepting new patients
Riverbend Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Diagnostic Radiology of Anderson, P.a. Diagnostic Radiology PastSince Aug 1, 2025 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

  • Direct secure messaging: douglas.green.p1@direct.arch.nextgenshare.com
  • Direct secure messaging: dgreen2974305@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

View all 144

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.