Active NPI
Michael Stephen Green, M.D.
- Obstetrics & Gynecology Physician
- Oxnard, CA
National Provider Identifier
1780631002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G80363
- Practice address
- 2361 E Vineyard Ave
Oxnard, CA 93036-2102 - Phone
- (805) 981-3770
- Fax
- (805) 981-3767
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G80363 | CA | Primary |
Addresses
Primary practice location
2361 E Vineyard Ave
Oxnard, CA 93036-2102
Mailing address
5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM08608F | Medicaid | CA | |
| 95-1683892 | Other | CA | OTHER INSURANCE |
| 050394 | Other | CA | BLUE CROSS |
| RHM08609F | Medicaid | CA | |
| RHM18553H | Medicaid | CA | |
| ZZT40394F | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608000363 | CA | Practitioner - Obstetrics/Gynecology | 0244273480 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Saint Louis University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Bernardino Mountains Community Hospital District
Practice addresses (Care Compare)
PO Box
Suite 70
Lake Arrowhead, CA 92352
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Mountains Community Hospital District | Current | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients | |
| San Bernardino Mountains Community Hospital District | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients |
Locations
2642 Palo Alto Way
Running Springs, CA 92382
Phone (909) 867-3641
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Lake Arrowhead, CA
- NPI 1528172541
CA
-
- Critical Access Hospital
- Lake Arrowhead, CA
- NPI 1245380799
-
- Medicare Defined Swing Bed Hospital Unit
- Lake Arrowhead, CA
- NPI 1073663662
-
- Long Term Care Hospital
- Lake Arrowhead, CA
- NPI 1174674246
-
- Rural Health Clinic/Center
- Running Springs, CA
- NPI 1881703957
-
- Multi-Specialty Clinic/Center
- Oxnard, CA
- NPI 1124067574
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1780631002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 OLIVAS PARK DR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037672",
"telephone_number": "805-667-2801",
"fax_number": "805-667-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2361 E VINEYARD AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362102",
"telephone_number": "805-981-3770",
"fax_number": "805-981-3767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MICHAEL",
"middle_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G80363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08608F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INSURANCE",
"identifier": "95-1683892",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "050394",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08609F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM18553H",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT40394F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.