Active NPI
Robert Hyman Green, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Newport Beach, CA
National Provider Identifier
1861522328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- G36658
- Practice address
- 895 Dove St FL 3
Newport Beach, CA 92660-2941 - Phone
- (949) 229-8447
- Fax
- (949) 229-8458
- NPI assigned
- Mar 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | G36658 | CA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | G36658 | CA | Primary |
Addresses
Primary practice location
895 Dove St FL 3
Newport Beach, CA 92660-2941
Mailing address
895 Dove St FL 3
Newport Beach, CA 92660-2941
Phone (562) 299-8011
Other practice location 1
9465 Wilshire Blvd Ste 300
Beverly Hills, CA 90212-2624
Phone (310) 796-7691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36658 | CA | MD | Pain Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1861522328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 DOVE ST FL 3",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602941",
"telephone_number": "562-299-8011",
"fax_number": "949-229-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 DOVE ST FL 3",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602941",
"telephone_number": "949-229-8447",
"fax_number": "949-229-8458"
}
],
"practiceLocations": [
{
"address_1": "9465 Wilshire Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902122624",
"country_code": "US",
"telephone_number": "310-796-7691",
"fax_number": "310-796-7698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "ROBERT",
"middle_name": "HYMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "CA",
"license": "G36658",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "G36658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.