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CHANEL GREEN PA-C
NPI 1235917196
Physician Assistant in Costa Mesa, CA

Active since September 20, 2023
700 W 19TH ST, COSTA MESA, CA 92627(949) 866-3600 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chanel Green Pa-c NPPES

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

CHANEL GREEN PA-C (NPI 1235917196) is an individual physician assistant in Costa Mesa, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1235917196
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHANEL GREENCredential: PA-C
Location Address700 W 19TH STCosta Mesa, CA 92627-3517
Mailing Address700 W 19th StCosta Mesa, CA 92627-3517 · (949) 866-3600
Phone(949) 866-3600
Sole ProprietorNo
Enumeration DateSeptember 20, 2023
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1235917196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
700 W 19TH ST, Costa Mesa, CA 92627
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Other Providers at the Same Location NPPES 14

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

TIFFANY LE
Physician Assistant (Medical)
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 645-9334
ESTHER NAVARRO PA-C
Physician Assistant
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 866-3600
STACY ANNE PETERSEN FNP-C
Nurse Practitioner (Family)
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 645-4646
CINDY QUANT
Physician Assistant
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 866-3600
JOSE ANGEL ZAVALA
Physician Assistant
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 645-9334
SANO MEDICAL CLINIC, INC.
Family Medicine
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (714) 743-8022
JAMES STIRBL MD
Family Medicine
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 645-9334
SANO MEDICAL CLINIC
Clinic/Center (Primary Care)
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 355-1715

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 Chanel Green's NPI number?

The NPI number for Chanel Green is 1235917196. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Chanel Green located?

Chanel Green practices at 700 W 19th St, Costa Mesa, CA 92627. The listed phone number is (949) 866-3600.

What is Chanel Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Chanel Green was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.