GRAHAM GREEN DO - NPI 1619733839 - General Practice in San Diego, CA

Q: What is Graham Green's NPI number?

The NPI number for Graham Green is 1619733839. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Q: What is Graham Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Graham Green was last updated on February 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Graham Green Do NPPES

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

GRAHAM GREEN DO (NPI 1619733839) is an individual general practice provider in San Diego, California, licensed in Virginia (0102209476) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1619733839

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameGRAHAM GREENCredential: DO

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (614) 949-9446

Phone(614) 949-9446

Sole ProprietorNo

Enumeration DateFebruary 26, 2024

Last NPPES UpdateFebruary 23, 2026

NPPES CertifiedFebruary 23, 2026

✔ NPI 1619733839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102209476

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

34800 BOB WILSON DR, San Diego, CA 92134

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