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RICHARD GREEN PA-C
NPI 1649624040
Physician Assistant - Medical in Clovis, CA

Active since April 21, 2016PECOS Enrolled
1555 SHAW AVE STE 101, CLOVIS, CA 93611(559) 324-7001 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2023, Mar 31, 2023, Sep 11, 2020 and 1 more (4 updates tracked since 2016).

About Richard Green Pa-c NPPES

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

RICHARD GREEN PA-C (NPI 1649624040) is an individual medical provider in Clovis, California, licensed in California (53321) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649624040
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICHARD GREENCredential: PA-C
Location Address1555 SHAW AVE STE 101Clovis, CA 93611-4096
Mailing Address1555 Shaw Ave Ste 101Clovis, CA 93611-4096 · (559) 324-7001
Phone(559) 324-7001
Sole ProprietorNo
Enumeration DateApril 21, 2016
Last NPPES UpdateApril 11, 20234 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1649624040 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 · 53321
1555 SHAW AVE STE 101, Clovis, CA 93611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Green Pa-c 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.

Other Providers at the Same Location NPPES 2

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

CLAIRE A AUSTIN PA
Physician Assistant
1555 SHAW AVE STE 101
CLOVIS, CA 93611
Fresno County (559) 324-7001
VICTORIA JESSICA VANG
Nurse Practitioner (Family)
1555 SHAW AVE STE 101
CLOVIS, CA 93611
Fresno County (559) 900-1288

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 Richard Green's NPI number?

The NPI number for Richard Green is 1649624040. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Richard Green located?

Richard Green practices at 1555 Shaw Ave Ste 101, Clovis, CA 93611. The listed phone number is (559) 324-7001.

What is Richard Green's specialty?

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

Is Richard Green enrolled in Medicare?

Yes. Richard Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Green was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.