John Greene
Individual provider Active NPI Driver · Rosamond, CA
NPI 1275908741 · NPPES record last updated Oct 16, 2018
Key facts
- NPI
- 1275908741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- N7116688 (CA)
- Practice address
- 1111 Sierra Hwy
Rosamond, CA 93560 - Phone
- (661) 754-6622
- Fax
- (661) 256-7678
- NPI assigned
- Dec 9, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7116688 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Av Medical Transportation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | N7116688 | CA | Yes |
Addresses
Primary practice location
1111 Sierra Hwy
Rosamond, CA 93560
Mailing address
PO Box 1205
Rosamond, CA 93560-1205
Phone (661) 754-6622
Other providers in Rosamond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.