Green Flash Physician Oversight PC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

GREEN FLASH PHYSICIAN OVERSIGHT PC

Practice address

2868 Bayside Walk Unit C
San Diego, CA 92109-8119

Phone

(917) 273-4092

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Joseph John Moreira, MDNPI 1316055999

Title

President

Phone

(917) 273-4092

Specialties & licenses 1

Addresses

Locations

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.

• Joseph John Moreira, MD

  • Neurology Physician
  • Mineola, NY
  • NPI 1316055999
  NPD Authorized official

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1316560378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WILLIS AVE FL 2",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011510",
            "telephone_number": "917-273-4092",
            "fax_number": "516-747-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 BAYSIDE WALK UNIT C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098119",
            "telephone_number": "917-273-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Willis Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115011510",
            "country_code": "US",
            "telephone_number": "917-273-4092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4728 Marine Ave",
            "address_purpose": "LOCATION",
            "city": "Lawndale",
            "state": "CA",
            "postal_code": "902601247",
            "country_code": "US",
            "telephone_number": "424-374-8434",
            "fax_number": "866-225-3208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREEN FLASH PHYSICIAN OVERSIGHT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MOREIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-273-4092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Alison Greco, LMFT 82932
• Sophia Greco, PT, DPT
• Quynh-Nga Bui Gredig, RN, MPH, MS
• Channing Gredvig, LCSW
• Briana Greeley
• Green Lotus Psychotherapy & Consulting, Inc.
• Green Pastures Doula LLC
• Green Room Psychology Services Incorporation
• Green Waves Psychiatry Nursing Inc
• Johanna Green-Jacob, NURSE PRACTITIONER

• Clinical Neurophysiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Neurophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.