Lydia Marie Green, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A068297 Issued in CA

Practice address

6033 W Century Blvd Ste 200
Los Angeles, CA 90045-6440

Phone

(323) 691-1772

NPI assigned

Jul 11, 2006

Last updated

Sep 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Southern California Keck School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florence Western Medical Clinic IncGroup PAC ID 1850485962, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florence Western Medical Clinic Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1154347797
  Medicare reassignment Care Compare group NPD
• Lydia Green MD Inc

  • General Practice Physician
  • Lancaster, CA
  • NPI 1861056228
  Authorized official Same address or phone
• Cure4Feet Podiatry Group Inc

  • Foot & Ankle Surgery Podiatrist
  • North Hollywood, CA
  • NPI 1104149269
  NPD (past)
• Medicina Familiar

  • General Practice Physician
  • Pacoima, CA
  • NPI 1609961648
  NPD (past)
• United Medical Care Center Inc.

  • Specialist
  • San Bernardino, CA
  • NPI 1467590323
  NPD (past)
• New York City Health and Hospitals Corporation

  dba Queens Hospital Center

  • General Acute Care Hospital
  • Jamaica, NY
  • NPI 1801803903
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1952336752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 W 120TH ST STE E-134",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503395",
            "telephone_number": "323-691-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 W CENTURY BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456440",
            "telephone_number": "323-691-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LYDIA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A068297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristal Deshee Green, LCSW
• Kristen Nicole Green, PH.D.
• La Dawn Green
• Lauren Green, D.O.
• Laurence Bennett Green, LCSW, PSYD
• Malachi M Green
• Manwell Green I
• Marjorine P Green
• Melanie Arlene Green, CTNP
• Meryl Green, AMFT

• Adult Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.