Richard Garland Greene

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D1088963 Issued in CA

Legal business name

RICHARD GARLAND GREENE

Practice address

1466-M E Foothill Blvd
Suite 202
Upland, CA 91786-4000

Phone

(909) 267-4865

NPI assigned

Oct 17, 2008

Organization subpart

No

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

Authorized official

Name

Richard Garland Greene

Title

Owner

Phone

(909) 267-4865

Specialties & licenses 1

Addresses

Other names 1

• active weight solutions Doing business as

Locations

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1447402763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466-M E FOOTHILL BLVD",
            "address_2": "SUITE 202",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466-M E FOOTHILL BLVD",
            "address_2": "SUITE 202",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864000",
            "telephone_number": "909-267-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GARLAND GREENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GARLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-267-4865"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1088963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "active weight solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toni Marie Reyes, FNP
• Joseph Reyna
• Gino Antonio Reynoso, DDS
• Terence P. Rhone, D.O.
• Briana Neyra Ribota, MSW
• Richard L Bruck M D a Professional Corporation
• Richard Y. Kunihira, D.D.S., Inc.
• Jonathan Richard, LMFT
• Jason Richards
• Tiffany Richardson

• Clinical Medical Laboratory in Upland, CA
• Providers in Upland, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.