Active NPI
Christine L Green, M.D.
- Family Medicine Physician
- Mountain View, CA
National Provider Identifier
1871661157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G47871
- Practice address
- 2500 Hospital Dr
Building 2
Mountain View, CA 94040-4106 - Phone
- (650) 433-8925
- Fax
- (650) 523-4682
- NPI assigned
- Dec 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G47871 | CA | Primary |
Addresses
Primary practice location
2500 Hospital Dr
Building 2
Mountain View, CA 94040-4106
Mailing address
2500 Hospital Dr
Building 2
Mountain View, CA 94040-4106
Phone (650) 433-8925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G47871 | Other | CA | MEDICAL LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 15, 2017 through Dec 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47871 | CA | MD | General Practice Dentistry |
| G47871 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Diagnostic & Rehabilitation Medical Group, Inc. | Past | Accepting new patients | |
| Naturalstart Naturopathic Family Medicine, Inc. | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1477646313
-
- General Acute Care Hospital
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- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1871661157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HOSPITAL DR",
"address_2": "BUILDING 2",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404106",
"telephone_number": "650-433-8925",
"fax_number": "650-523-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HOSPITAL DR",
"address_2": "BUILDING 2",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404106",
"telephone_number": "650-433-8925",
"fax_number": "650-523-4682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "CHRISTINE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G47871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LIC",
"identifier": "G47871",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.