Denise Fitzgerald Greene, RNP
Individual provider Active NPI Primary Care Nurse Practitioner · Cypress, CA
NPI 1578766366 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1578766366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 456710 (CA)
- Practice address
- 9897 Fonte Rd
Cypress, CA 90630-3541 - Phone
- (714) 220-3970
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050401000944 | CA | Practitioner - Nurse Practitioner | 2264489137 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palliative Care Doctors Group, Inc | Current |
Accepting new patients | |
| Krikor I Kalindjian,MD.Inc | Current |
Accepting new patients | |
| American Beam Clinic Inc | Current |
Accepting new patients | |
| Lakeside Medical Organization, a Medical Group Inc. | Current |
Accepting new patients | |
| Advance Wound Care Pros | Primary Care | Current |
Accepting new patients |
Locations
191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671
1300 N Vermont Ave
Ste 807
Los Angeles, CA 90027
Phone (323) 660-5191
1700 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 435-1892
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
6257 Van Nuys Blvd
Ste A
Van Nuys, CA 91401
Phone (818) 939-6289
9191 Bolsa Ave
Ste 207
Westminster, CA 92683
Phone (714) 622-4125
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- denise.greene.p1@direct.lakeside.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 456710 | CA | Yes |
Addresses
Primary practice location
9897 Fonte Rd
Cypress, CA 90630-3541
Mailing address
9897 Fonte Rd
Cypress, CA 90630-3541
Phone (714) 220-3970
Other providers in Cypress, CA
- Mariah Gonzalez
- Natalie Gonzalez
- Good Samaritan Medical Practice Association
- Bethany Gray
- Wilhelmina Basco Grecia
- Manpreet Gosal Grewal
- Lori Griffin
- Marcy Marie Griffitts
- Ambar Xhante Gudino
- Jeanette Guerrero Monreal
All providers in Cypress, CA · Primary Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.