DR. AMANDA BETH GREEN M.D.
NPI 1457618977
Pediatrics in Panorama City, CA
About Dr. Amanda Beth Green M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA BETH GREEN M.D. (NPI 1457618977) is an individual pediatrics provider in Panorama City, California, licensed in California (A136605) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Amanda Beth Green M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Panorama City, CA 91402
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PANORAMA CITY, CA 91402
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 Amanda Green's NPI number?
The NPI number for Amanda Green is 1457618977. It was assigned to this individual provider in the NPPES registry on April 20, 2012.
Where is Amanda Green located?
Amanda Green practices at 13652 Cantara St Mob 6, Panorama City, CA 91402. The listed phone number is (818) 350-6223.
What is Amanda Green's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Amanda Green enrolled in Medicare?
Yes. Amanda Green is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Green reassigns Medicare benefits to Southern California Permanente Medical Group (Panorama City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Green was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Amanda Beth Green, M.D. · NPI 1457618977
Pediatrics physician in Panorama City, California. Individual provider, active in the CMS NPPES registry since April 20, 2012.
## Identity
- **NPI:** 1457618977 (Entity type: Individual)
- **Enumerated:** April 20, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A136605 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13652 CANTARA ST, MOB 6, Panorama City, CA 91402-5423
- **Phone:** (818) 350-6223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1407888928, Panorama City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1457618977) · Data from the CMS NPPES public registry.