NPIMap

Organization Active NPI

Walter S Green, M.D. Medical Corporation

  • Specialist
  • Downey, CA
National Provider Identifier
1285837120
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A09766 Issued in CA
Legal business name
WALTER S GREEN, M.D. MEDICAL CORPORATION
Practice address
8345 Firestone Blvd Ste 310
Downey, CA 90241-3872
Phone
(562) 923-3001
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Walter S Green, M.D.
Title
Medical Doctor
Phone
(562) 923-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A09766 CA Primary

Addresses

Primary practice location

8345 Firestone Blvd Ste 310
Downey, CA 90241-3872

Mailing address

8345 Firestone Blvd Ste 310
Downey, CA 90241-3872
Phone (562) 923-3001

National Provider Directory

National Provider Directory
Tax ID family
Walter S Green MD Medical Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8345 Firestone Blvd
Ste 310
Downey, CA 90241
Phone (562) 923-3001

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285837120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 FIRESTONE BLVD STE 310",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413872",
            "telephone_number": "562-923-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8345 FIRESTONE BLVD STE 310",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413872",
            "telephone_number": "562-923-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER S GREEN, M.D. MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "562-923-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A09766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.