Individual provider Active NPI

Chona Badar Green, MD

  • Psychiatry Physician
  • Laguna Hills, CA
National Provider Identifier
1437219441
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A53508 Issued in CA
Practice address
23121 Plaza Pointe Dr
#150
Laguna Hills, CA 92653
Phone
(949) 586-4113
Fax
(949) 837-5002
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A53508 CA Primary

Addresses

Primary practice location

23121 Plaza Pointe Dr
#150
Laguna Hills, CA 92653

Mailing address

23121 Plaza Pointe Dr
#150
Laguna Hills, CA 92653
Phone (949) 586-4113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121119000145 CA Practitioner - Psychiatry 0840441978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chona Badar Green M D a Professional CorporationGroup PAC ID 9234380361, 2 clinicians

Practice addresses (Care Compare)

23121 Plaza Pointe Dr
Suite 150
Laguna Hills, CA 92653-1468
Phone (949) 586-4113

Merit-based Incentive Payment System (MIPS)

Final score
22.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53508CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chona Badar Green M D a Professional Corporation CurrentSince Feb 27, 2012 Accepting new patients

Locations

23121 Plaza Pointe Dr
Ste 150
Laguna Hills, CA 92653
Phone (949) 586-4113

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1437219441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23121 PLAZA POINTE DR",
            "address_2": "#150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-586-4113",
            "fax_number": "949-837-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23121 PLAZA POINTE DR",
            "address_2": "#150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-586-4113",
            "fax_number": "949-837-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHONA",
        "middle_name": "BADAR",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A53508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.