Individual provider Active NPI

Robert Hyman Green, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newport Beach, CA
National Provider Identifier
1861522328
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
G36658 Issued in CA
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

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
G36658CAMDPain 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.

Verify at the official NPI Registry.