MS. ANGELIQUE GREEN M.D.
NPI 1427269067
General Practice in Oakland, CA

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
510 17TH ST, OAKLAND, CA 94612(510) 433-1160 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Angelique Green M.d. NPPES

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

MS. ANGELIQUE GREEN M.D. (NPI 1427269067) is an individual general practice provider in Oakland, California, licensed in California (G081954) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1993).

NPPES Registry Identity

NPI1427269067
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMS. ANGELIQUE GREENCredential: M.D.
Location Address510 17TH STOakland, CA 94612-1553
Mailing Address4230 Terrace StOakland, CA 94611-5128 · (510) 326-8241
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1993
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1427269067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G081954
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
510 17TH ST, Oakland, CA 94612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Angelique Green M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214910934
PECOS Enrollment IDI20040611001051
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.

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.

Nurse Practitioner (Adult Health)
510 17TH ST, #400
OAKLAND, CA 94612
Registered Nurse
510 17TH ST
OAKLAND, CA 94612
Psychologist (Clinical)
510 17TH ST
OAKLAND, CA 94612
Registered Nurse
510 17TH ST
OAKLAND, CA 94612
Registered Nurse
510 17TH ST
OAKLAND, CA 94612
Registered Nurse
510 17TH ST
OAKLAND, CA 94612
Social Worker
510 17TH ST
OAKLAND, CA 94612
Massage Therapist
510 17TH ST
OAKLAND, CA 94612

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 Angelique Green's NPI number?

The NPI number for Angelique Green is 1427269067. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Angelique Green located?

Angelique Green practices at 510 17th St, Oakland, CA 94612. The listed phone number is (510) 433-1160.

What is Angelique Green's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Angelique Green enrolled in Medicare?

Yes. Angelique Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angelique Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.