Sharon Alicia Green

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

16000 Yucca St
Hesperia, CA 92345-3517

Phone

(760) 887-1909

Fax

(530) 203-7286

NPI assigned

Jan 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sharon Alicia Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Victor Valley Family Resource Center

  • Pastoral Counselor
  • Hesperia, CA
  • NPI 1710213467

  Case Management

  NPD (past) Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1891566212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 YUCCA ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453517",
            "telephone_number": "760-669-0300",
            "fax_number": "760-244-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 YUCCA ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453517",
            "telephone_number": "760-887-1909",
            "fax_number": "530-203-7286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12351 Dandelion Way",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923928706",
            "country_code": "US",
            "telephone_number": "760-887-1909",
            "fax_number": "530-203-7286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHARON",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BROWN",
            "middle_name": "ALICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alura Gooden
• Todd Goulding
• Eva Masheli Gowdy
• Grace Medi Transport
• Cassandra L Grafius
• Kyle Greene, RDN
• Tempy Clashawn Greene
• Bethany Greenwood, COTA/L
• Amanda Griffin
• Makayla Grimmer

• Case Management Agency in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.