Deanna Lorraine Green

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A165296 Issued in CA

Practice address

23 Reed Blvd Ste 120
Mill Valley, CA 94941-2370

Phone

(415) 795-7000

NPI assigned

Mar 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Regents Univ of California UCSF

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124439807
  NPD

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1285095182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 REED BLVD STE 120",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412370",
            "telephone_number": "415-795-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 REED BLVD STE 120",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412370",
            "telephone_number": "415-795-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DEANNA",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A165296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Gothelf, MD
• Sara Gottfried, MD
• Tamar Gottlieb
• Lori Granger, LMFT
• Allen Green Jr., MD
• Greene Medical Inc
• Michael Grotjahn, M.D.
• Claire Simone Guerin, LCSW
• Marsha Guisard, MD
• Jean A Gustafson, M.D.

• Internal Medicine Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.