Kimberly L Newell Green, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A80595 Issued in CA

Practice address

530 Divisadero St Ste 108
San Francisco, CA 94117-2213

Phone

(415) 725-5422

NPI assigned

Nov 1, 2006

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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299

  Pediatrics

  Medicare reassignment NPD
• Divisadero Health Services

  • Peer Specialist
  • San Francisco, CA
  • NPI 1265121073
  NPD Authorized official
• Divisadero Health Services of New Jersey, P.C.

  • Mental Health Counselor
  • San Francisco, CA
  • NPI 1609691369
  NPD Authorized official
• Kim Newell Green M.D., P.C.

  • Mental Health Counselor
  • San Francisco, CA
  • NPI 1548096977
  NPD Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1841373800

  Pediatrics

  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• John Muir Physician Network

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1841407665
  NPD (past)
• UCSF Pediatrics Associates

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1376614016
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1952489593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DIVISADERO ST STE 108",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172213",
            "telephone_number": "415-725-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 DIVISADERO ST STE 108",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172213",
            "telephone_number": "415-725-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL GREEN",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A80595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A805950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernest Newbrun, D.M.D.
• Kristen Newburn
• Charles Newcomb, MSW
• Scott Newcombe
• Anne Newcomer, MD
• Hugh Franklin Newell
• Nicole Marie Newell
• Philippa Newfield, MD
• Kelly Newhouse, P.A.-C
• Barbara Newlin, RN, ANP

• Pediatrics Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.