Active NPI
Sara Green
- Psychologist
- Santa Ana, CA
National Provider Identifier
1891379251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 525 Cabrillo Park Dr Ste 300
Santa Ana, CA 92701-5017 - Phone
- (714) 953-4455
- NPI assigned
- May 11, 2021
- Last updated
- Jul 5, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | CA | Primary |
Addresses
Primary practice location
525 Cabrillo Park Dr Ste 300
Santa Ana, CA 92701-5017
Mailing address
3424 Grande Vista Pkwy Apt 255
Riverside, CA 92503-0101
Phone (412) 952-3765
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1891379251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 GRANDE VISTA PKWY APT 255",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925030101",
"telephone_number": "412-952-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 CABRILLO PARK DR STE 300",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015017",
"telephone_number": "714-953-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.