Individual provider Active NPI

Denise Fitzgerald Greene, RNP

  • Primary Care Nurse Practitioner
  • Cypress, CA
National Provider Identifier
1578766366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
456710 Issued in CA
Practice address
9897 Fonte Rd
Cypress, CA 90630-3541
Phone
(714) 220-3970
NPI assigned
Jun 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 456710 CA Primary

Addresses

Primary practice location

9897 Fonte Rd
Cypress, CA 90630-3541

Mailing address

9897 Fonte Rd
Cypress, CA 90630-3541
Phone (714) 220-3970

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000944 CA Practitioner - Nurse Practitioner 2264489137 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Beam Clinic Inc CurrentSince Dec 15, 2020 Accepting new patients
Krikor I Kalindjian,MD.Inc CurrentSince Jun 7, 2016 Accepting new patients
Palliative Care Doctors Group, Inc CurrentSince Aug 22, 2018 Accepting new patients
Advance Wound Care Pros Primary Care CurrentSince Jul 1, 2025 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince Apr 22, 2019 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) 234-6600

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

  • Direct secure messaging: denise.greene.p1@direct.lakeside.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578766366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9897 FONTE RD",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303541",
            "telephone_number": "714-220-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9897 FONTE RD",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303541",
            "telephone_number": "714-220-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DENISE",
        "middle_name": "FITZGERALD",
        "credential": "RNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "456710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.