Green Cross Med Net Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GREEN CROSS MED NET INC

Practice address

5832 S Vermont Ave
Los Angeles, CA 90044-3712

Phone

(323) 750-7354

Fax

(323) 750-7446

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Nabil Khalil, MD

Title

Medical Director

Phone

(323) 750-7354

Specialties & licenses 1

Addresses

Other names 1

• Green Cross Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Silka Enterprises Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1952526915

  O20100724000156

  Same enrollment

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicola Faris Azar, M.D.

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1922259787
  Medicare reassignment NPD
• Johnny-an Thanh Pham, PA C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1457332504
  Medicare reassignment NPD
• David Neil Steinberg, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1649335043
  Medicare reassignment NPD
• Nicholas Andrew Rogers, MD

  • Obstetrics & Gynecology Physician
  • Palmdale, CA
  • NPI 1124203583
  Medicare reassignment
• Ira Kenneth Grove, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1659327112
  NPD
• Juan Fernando Lizarraga, M.D.

  • General Practice Physician
  • Colton, CA
  • NPI 1417126764
  NPD
• Sachchida N. Sinha, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1629118468
  NPD
• Oluwafunmilayo Adekanbi, LPN

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1952678724
  NPD

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1851609176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5832 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443712",
            "telephone_number": "323-750-7354",
            "fax_number": "323-750-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443712",
            "telephone_number": "323-750-7354",
            "fax_number": "323-750-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CROSS MED NET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-750-7354",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Cross Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Anthony Grech, MD
• Carly Greco, PT, DPT
• Valerie Allen Greco, M.D.
• Green Acupuncture
• Green Acupuncture, Inc.
• Green Dot Public Schools
• Green Line Home Care Inc
• Green Oak Ventures
• Erin Rebecca Green-Krogmann, PH.D
• Kimberly Nicole Green-Russell, LMFT

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.