Green Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GREEN MEDICAL GROUP

Practice address

995 W Foothill Blvd
Claremont, CA 91711-3304

Phone

(714) 655-8298

Fax

(808) 855-3055

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Diem Le, RNNPI 1689236168

Title

Corporate Secretary

Phone

(714) 655-8298

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Mohitkumar Ardeshana, M.D.

  • Hospitalist Physician
  • Redlands, CA
  • NPI 1467867135
  Medicare reassignment NPD
• Khanh Tuan Duong, D.P.M.

  • Podiatrist
  • Westminster, CA
  • NPI 1295754125
  Medicare reassignment NPD
• Diem Le

  • Home Health Agency
  • Garden Grove, CA
  • NPI 1689236168
  NPD Authorized official

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1225918014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113304",
            "telephone_number": "714-655-8298",
            "fax_number": "808-855-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113304",
            "telephone_number": "714-655-8298",
            "fax_number": "808-855-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DIEM",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "714-655-8298",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Grammer
• Reighan Grandolfo
• Grandtag Madisonrealty LLC
• Steven Michael Graves, ATC
• Green Life Legacy, LLC
• Merceades Quinniece Green, MS, CCC-SLP
• Karen Greenbaum-Maya, PH. D.
• Jacquelyn C. Grillo, D.D.S.
• Jennifer Kaminski Guerra, MSPA-C
• Karen Michelle Uy-Uyan Guiang, D.O.

• General Practice Physician in Claremont, CA
• Providers in Claremont, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.