Tanner James Green, - Medicare Physician Assistant in Simi Valley, CA

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Tanner James Green, is a medicare enrolled "Physician Assistant" in Simi Valley, California. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ventura Orthopedics Medical Group Inc, Synergy Observation Specialists Pc, Southern California Permanente Medical Group and his current practice location is 2975 Sycamore Dr, Simi Valley, California. You can reach out to his office (for appointments etc.) via phone at (805) 955-6107.

Tanner James Green is licensed to practice in California (license number 60441) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093473647.

Contact Information

Tanner James Green,
2975 Sycamore Dr,
Simi Valley, CA 93065-1201
(805) 955-6107
Not Available

Map and Direction




Provider's Profile

Full NameTanner James Green
GenderMale
SpecialityPhysician Assistant
Experience5 Years
Location2975 Sycamore Dr, Simi Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tanner James Green graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1093473647
  • Provider Enumeration Date: 12/01/2021
  • Last Update Date: 03/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7517359342
  • Enrollment ID: I20220127002373

Medical Identifiers

Medical identifiers for Tanner James Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093473647NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 60441 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health Simi ValleySimi valley, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ventura Orthopedics Medical Group Inc206231291179
Synergy Observation Specialists Pc549613830734
Southern California Permanente Medical Group600272917511250

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tanner James Green allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameVentura Orthopedics Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871547315
PECOS PAC ID: 2062312911
Enrollment ID: O20040615001871
Entity NameAllied Emergency Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043531346
PECOS PAC ID: 9931391604
Enrollment ID: O20101013000562
Entity NameSynergy Observation Specialists PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023773587
PECOS PAC ID: 5496138307
Enrollment ID: O20220810000830

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanner James Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tanner James Green,
1203 Flynn Rd Unit 160,
Camarillo, CA 93012-6203

Ph: (805) 804-4168		Tanner James Green,
2975 Sycamore Dr,
Simi Valley, CA 93065-1201

Ph: (805) 955-6107

Reviews and Comments


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Phone: 805-526-8360    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.