Ryan Michael Greene, DO, MS

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

20A15602 Issued in CA

Practice address

8720 W Sunset Blvd Unit C
Los Angeles, CA 90069-2206

Phone

(630) 569-1287

Fax

(310) 878-2540

NPI assigned

Apr 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy, Master of Science

State licenses

Practice roles

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.

• Monarch Concierge Physician Services

  • Sports Medicine (Preventive Medicine) Physician
  • Los Angeles, CA
  • NPI 1437735115
  NPD Authorized official
• Boulevard Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Studio City, CA
  • NPI 1437551033
  NPD

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1881089910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 W SUNSET BLVD UNIT C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900692206",
            "telephone_number": "630-569-1287",
            "fax_number": "310-878-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 W SUNSET BLVD UNIT C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900692206",
            "telephone_number": "630-569-1287",
            "fax_number": "310-878-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "DHMC department of General surgery",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "630-569-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A15602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Henry Greene, PH.D.
• Loretta Vernell Greene, MFTI
• Marcie Jo Greene, MSN FNP-BC
• Nicole Angelique Greene, M.A., CCC-A
• Robert Greene, RN
• Sandra Greene
• Sarah Elizabeth Creighton Greene, M.D.
• Timothy Bruce Greene
• Tina Tomomi Greene, LCSW
• Veronica Greene, DDS

• Sports Medicine (Preventive Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sports Medicine (Preventive Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.