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CONNOR JAY GREEN
NPI 1275480204
Student in an Organized Health Care Education/Training Program in Culver City, CA

Active since March 10, 2026
9808 VENICE BLVD, CULVER CITY, CA 90232(310) 945-3350 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connor Jay Green NPPES

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

CONNOR JAY GREEN (NPI 1275480204) is an individual student in an organized health care education/training program in Culver City, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1275480204
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR JAY GREEN
Location Address9808 VENICE BLVDCulver City, CA 90232-2732
Mailing Address9808 Venice BlvdCulver City, CA 90232-2732 · (310) 945-3350
Phone(310) 945-3350
Sole ProprietorNo
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1275480204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9808 VENICE BLVD, Culver City, CA 90232
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Other Providers at the Same Location NPPES 20

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

JOSEPH A DERIJE NP
Nurse Practitioner (Psychiatric/Mental Health)
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
HENRY P DURAZO
Rehabilitation Practitioner
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
SOLEDAD VERGARA
Rehabilitation Practitioner
9808 VENICE BLVD, SUITE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
CHERRYL DIOM
Registered Nurse (Psychiatric/Mental Health)
9808 VENICE BLVD, STE. 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
LAUREN MCFARLAND
Rehabilitation Practitioner
9808 VENICE BLVD, STE. 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
SHERRI BETHELMY
Rehabilitation Practitioner
9808 VENICE BLVD
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JANINE RENEE STEWART
Rehabilitation Practitioner
9808 VENICE BLVD
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
TERRIE ADDISON
Community Health Worker
9808 VENICE BLVD, 505
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350

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 Connor Green's NPI number?

The NPI number for Connor Green is 1275480204. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Connor Green located?

Connor Green practices at 9808 Venice Blvd, Culver City, CA 90232. The listed phone number is (310) 945-3350.

What is Connor Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Connor Green was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.