| Joshua David Green, DO | |
|
11177 Tampa Ave Unit A, Porter Ranch, CA 91326-2254 | |
| (818) 850-7129 | |
| (818) 850-7139 |
| Full Name | Joshua David Green |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 15 Years |
| Location | 11177 Tampa Ave Unit A, Porter Ranch, 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 |
|---|---|---|---|
| 1932494929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101019374 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 14056 (California) | Primary |
| Entity Name | Sherman Oaks Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518904150 PECOS PAC ID: 1557377736 Enrollment ID: O20060224000406 |
| Entity Name | Valley Presbyterian Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033133103 PECOS PAC ID: 1951308105 Enrollment ID: O20061031000344 |
| Entity Name | Centinela Freeman Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528333101 PECOS PAC ID: 0042469108 Enrollment ID: O20121004000437 |
| Entity Name | We Care Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811503519 PECOS PAC ID: 7315342789 Enrollment ID: O20210823003000 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua David Green, DO 27351 Dequindre Rd, Madison Heights, MI 48071-3487 Ph: (248) 967-7795 | Joshua David Green, DO 11177 Tampa Ave Unit A, Porter Ranch, CA 91326-2254 Ph: (818) 850-7129 |
Roman Gabriel Nepomuceno, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11401 Porter Ranch Dr Apt 6304, Porter Ranch, CA 91326 Phone: 424-473-3705 |