Richard M. Green, M.D., F.a.C.C. a Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G30476 Issued in CA

Legal business name

RICHARD M. GREEN, M.D., F.A.C.C. A MEDICAL CORPORATION

Practice address

2220 Lynn Rd
Suite 208
Thousand Oaks, CA 91360-1904

Phone

(805) 494-9494

Fax

(805) 374-9994

NPI assigned

Aug 31, 2006

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debra L. Williams

Title

Business Manager

Phone

(805) 494-9494

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1386756831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-494-9494",
            "fax_number": "805-374-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 208",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-494-9494",
            "fax_number": "805-374-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. GREEN, M.D., F.A.C.C. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "805-494-9494",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G30476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Lee Rhodes, LCSW
• Brian J. Rice, BCBA
• Jonathan Rice, PAC
• Richard Hoberman, M.D., Inc.
• Richard Lessman, M.D., Inc.
• Jennifer Leah Richards
• Samantha Danielle Richardson
• Zachary Richert, BA
• Michael David Richey, D.C.
• Dan Rieder, O.D.

• Cardiovascular Disease Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.