NATHANAEL GIDEON GREEN
NPI 1225923931
Peer Specialist in Lake Forest, CA

Q: What is Nathanael Green's NPI number?

The NPI number for Nathanael Green is 1225923931. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Q: What is Nathanael Green's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathanael Green was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2025

23072 LAKE CENTER DR STE 115, LAKE FOREST, CA 92630(949) 406-9694 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nathanael Gideon Green NPPES

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

NATHANAEL GIDEON GREEN (NPI 1225923931) is an individual peer specialist in Lake Forest, California, licensed in (MPSS-UCZFAE) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1225923931

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameNATHANAEL GIDEON GREEN

Location Address23072 LAKE CENTER DR STE 115Lake Forest, CA 92630-2880

Mailing Address23072 Lake Center Dr Ste 115Lake Forest, CA 92630-2880 · (949) 406-9694

Phone(949) 406-9694

Sole ProprietorYes

Enumeration DateJune 11, 2025

NPPES CertifiedJune 11, 2025

✔ NPI 1225923931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed · MPSS-UCZFAE

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

23072 LAKE CENTER DR STE 115, Lake Forest, CA 92630

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANE MICHELLE RIFFE

Peer Specialist

23072 LAKE CENTER DR STE 115
LAKE FOREST, CA 92630

Orange County (949) 528-6822

DINA TABIBZADA

Peer Specialist

23072 LAKE CENTER DR STE 115
LAKE FOREST, CA 92630

Orange County (714) 592-9825

MR. MANI ARBABI

Peer Specialist

23072 LAKE CENTER DR STE 115
LAKE FOREST, CA 92630

Orange County (949) 528-6822

RAUL FERNANDEZ

Peer Specialist

23072 LAKE CENTER DR STE 115
LAKE FOREST, CA 92630

Orange County (949) 528-6822

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 Nathanael Green's NPI number?

The NPI number for Nathanael Green is 1225923931. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Nathanael Green located?

Nathanael Green practices at 23072 Lake Center Dr Ste 115, Lake Forest, CA 92630. The listed phone number is (949) 406-9694.

What is Nathanael Green's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nathanael Green was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.