Individual provider Active NPI

Daniel E Green, MD

  • Internal Medicine Physician
  • Fairfield, CA
National Provider Identifier
1386731602
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G36444 Issued in CA
Practice address
1234 Empire St
Fairfield, CA 94533-5711
Phone
(707) 426-3911
Fax
(707) 434-2043
NPI assigned
Oct 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G36444 CA Primary
Hospitalist Physician 208M00000X G36444 CA

Addresses

Primary practice location

1234 Empire St
Fairfield, CA 94533-5711

Mailing address

PO Box 255668
Sacramento, CA 95865-5668
Phone (800) 470-0071

Other identifiers 1

IdentifierTypeStateIssuer
00G364440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36444CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Regional Medical Group, Inc. Internal Medicine Current Accepting new patients

Locations

1234 Empire St
Fairfield, CA 94533

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

690 Main St
Rio Vista, CA 94571
Phone (707) 374-6833

1010 Nut Tree Rd
Ste 100
Vacaville, CA 95687
Phone (707) 333-3065

770 Mason St
Vacaville, CA 95688
Phone (707) 446-2935

100 Hospital Dr
Fl 2
Vallejo, CA 94589
Phone (707) 551-3600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1386731602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255668",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655668",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 EMPIRE ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335711",
            "telephone_number": "707-426-3911",
            "fax_number": "707-434-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G36444",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G36444",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G364440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.