GEOFFREY RILEY GREEN PA
NPI 1306878533
Physician Assistant - Medical in Orange, CA

Q: What is Geoffrey Green's NPI number?

The NPI number for Geoffrey Green is 1306878533. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Geoffrey Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Geoffrey Green was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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 July 07, 2006PECOS Enrolled

1100 WEST STEWART DRIVE, ORANGE, CA 92868(714) 633-9111 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Geoffrey Riley Green Pa NPPES

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

GEOFFREY RILEY GREEN PA (NPI 1306878533) is an individual medical provider in Orange, California, licensed in California (PA17453) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306878533

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameGEOFFREY RILEY GREENCredential: PA

Location Address1100 WEST STEWART DRIVEOrange, CA 92868-3849

Mailing AddressPo Box 690Long Beach, CA 90801-0690 · (562) 809-3547

Phone(714) 633-9111

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateJanuary 13, 2010

✔ NPI 1306878533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA17453

1100 WEST STEWART DRIVE, Orange, CA 92868

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Other Identifiers 4

Medicare PINWPA17453ACA

MedicaidPA17453CA

Medicare PINWPA17453BCA

Medicare UPINQ26709

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geoffrey Riley Green Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

21 services21 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

12 services12 patients

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Other Providers at the Same Location NPPES 16

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

JOANN M TIMBERLAKE PA

Emergency Medicine