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CHARLES GARY GREEN MD
NPI 1073698189
Radiology - Body Imaging in Susanville, CA

Active since October 26, 2006
60 HALL STREET, SUSANVILLE, CA 96130(530) 257-6010(530) 257-6038 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Gary Green Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES GARY GREEN MD (NPI 1073698189) is an individual body imaging provider in Susanville, California, licensed in California (G46958) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1073698189
Entity TypeIndividualMale
Primary Taxonomy2085B0100X
Provider Legal NameCHARLES GARY GREENCredential: MD
Location Address60 HALL STREETSusanville, CA 96130
Mailing Address60 Hall StreetSusanville, CA 96130 · (530) 257-6010 · Fax (530) 257-6038
Phone(530) 257-6010
Fax(530) 257-6038
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073698189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License✔ Licensed in CA · G46958
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
60 HALL STREET, Susanville, CA 96130
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Other Identifiers 5

Medicare UPINA50553
Other5424723Medical Pin
Medicaid00G469582CA
Medicare ID-Type Unspecified00G469580CA
Other00G469580Blue Cross

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Green's NPI number?

The NPI number for Charles Green is 1073698189. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Charles Green located?

Charles Green practices at 60 Hall Street, Susanville, CA 96130. The listed phone number is (530) 257-6010.

What is Charles Green's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

When was this NPI record last updated?

The NPPES record for Charles Green was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.