Palestine Green, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95031374 Issued in CA

Practice address

1880 N Orange Grove Ave
Pomona, CA 91767-3006

Phone

(909) 620-7200

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pat Green Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1891528667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 FALLING STAR LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094802",
            "telephone_number": "909-628-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673006",
            "telephone_number": "909-620-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PALESTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95031374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAT",
            "last_name": "GREEN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph M Gray, O.D.
• Tamika Gray
• Donisha Titiana Green-Guidry
• Kamari Green
• Natasha Candace Green
• Wade Anthony Green, BT
• Michelle Greening, SUDRC
• Alyssa Lyn Gregorec, PA
• Pionnah Gregorio
• Emily Gresner

• Family Nurse Practitioner in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.