DR. AMANDA J GREEN MD
NPI 1679832265
Student in an Organized Health Care Education/Training Program in Oakland, CA
About Dr. Amanda J Green Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA J GREEN MD (NPI 1679832265) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Amanda J Green Md 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.
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.
OAKLAND, CA 94602
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 1679832265. It was assigned to this individual provider in the NPPES registry on May 16, 2012.
Where is Amanda Green located?
Amanda Green practices at 1411 E 31st St Qic 22134, Oakland, CA 94602. The listed phone number is (510) 437-4965.
What is Amanda Green's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Amanda Green enrolled in Medicare?
Yes. Amanda 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 Amanda Green was last updated on February 11, 2022. 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 J Green, MD · NPI 1679832265
Student in an Organized Health Care Education/Training Program provider in Oakland, California. Individual provider, active in the CMS NPPES registry since May 16, 2012.
## Identity
- **NPI:** 1679832265 (Entity type: Individual)
- **Enumerated:** May 16, 2012
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1411 E 31ST ST, QIC 22134, Oakland, CA 94602-1018
- **Phone:** (510) 437-4965 · **Fax:** (510) 437-5127
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679832265) · Data from the CMS NPPES public registry.