| Gary Alan Green, MD | |
|
881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272-3792 | |
| (310) 829-8923 | |
| (424) 212-5936 |
| Full Name | Gary Alan Green |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 881 Alma Real Dr Ste 101, Pacific Palisades, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154345254 | NPI | - | NPPES |
| 00G639690 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G63969 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
| Providence Saint John's Health Center | Santa monica, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Saint Johns Medical Foundation | 0840548624 | 256 |
| Entity Name | Pacific Palisades Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215037049 PECOS PAC ID: 1153393517 Enrollment ID: O20040806001220 |
| Entity Name | Providence Saint Johns Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Alan Green, MD 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272-3792 Ph: (310) 829-8923 | Gary Alan Green, MD 881 Alma Real Dr Ste 101, Pacific Palisades, CA 90272-3792 Ph: (310) 829-8923 |
Robert L . Saltzman, M.D. INC. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1386 Avenida De Cortez, Pacific Palisades, CA 90272 Phone: 310-550-8028 Fax: 310-550-8114 | |
Marilou Terpenning, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 528 Palisades Dr, #537, Pacific Palisades, CA 90272 Phone: 310-995-3758 Fax: 310-995-3758 | |
Dr. Roberta J Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 970 Monument St, Suite 210, Pacific Palisades, CA 90272 Phone: 310-459-4321 Fax: 310-459-5326 | |
Julie Meyoung Ma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 W Sunset Blvd Ste 107, Pacific Palisades, CA 90272 Phone: 310-459-7736 Fax: 310-230-0284 | |
Liane Zwetzich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Tranquillo Rd, Pacific Palisades, CA 90272 Phone: 917-373-1338 | |
Dr. Alison C Garb, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 970 Monument St, Ste 210, Pacific Palisades, CA 90272 Phone: 310-459-4321 Fax: 310-459-5326 |