Organization Active NPI

Billie Green, Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1184765273
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A44412 Issued in CA
Legal business name
BILLIE GREEN, MEDICAL CORPORATION
Practice address
1101 Felspar St
San Diego, CA 92109-2925
Phone
(858) 483-1720
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Billie Green, M.D.NPI 1427048032
Title
Owner
Phone
(858) 483-1720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A44412 CA Primary

Addresses

Primary practice location

1101 Felspar St
San Diego, CA 92109-2925

Mailing address

1101 Felspar St
San Diego, CA 92109-2925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070503000232 CA Part B Supplier - Clinic/Group Practice 7911003231 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1184765273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FELSPAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FELSPAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092925",
            "telephone_number": "858-483-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLIE GREEN, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-483-1720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.