1. Home
  2. Directory
  3. California
  4. Rancho Mirage
  5. Counselor
  6. NPI Profile

OTIS GREENE III SUBSTANCE USE DISORD
NPI 1740893361
Counselor - Addiction (Substance Use Disorder) in Rancho Mirage, CA

Active since August 24, 2020
39407 VISTA DEL SOL, RANCHO MIRAGE, CA 92270(877) 502-3218 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Aug 24, 2020 (2 updates tracked since 2020).

About Otis Greene Iii Substance Use Disord NPPES

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

OTIS GREENE III SUBSTANCE USE DISORD (NPI 1740893361) is an individual addiction (substance use disorder) provider in Rancho Mirage, California and active in the NPI registry since August 2020. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1740893361
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameOTIS GREENE IIICredential: SUBSTANCE USE DISORD
Location Address39407 VISTA DEL SOLRancho Mirage, CA 92270-3283
Mailing Address39407 Vista Del SolRancho Mirage, CA 92270-3283 · (877) 502-3218
Phone(877) 502-3218
Sole ProprietorNo
Enumeration DateAugust 24, 2020
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1740893361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
39407 VISTA DEL SOL, Rancho Mirage, CA 92270
Open in Google Maps ↗

Other Names 1

Former Name (1)Kamau Akili Shabazz Substance Use Disord

Secondary Practice Locations 3

Location 111720 El Camino Real Ste 200San Diego, CA 92130-2244 · Phone (866) 616-9360
Location 210700 Santa Monica Blvd Ste 310Los Angeles, CA 90025-6588 · Phone (866) 230-8275
Location 3506 W Graham Ave Ste 106Lake Elsinore, CA 92530-3665 · Phone (888) 638-8457

Other Providers at the Same Location NPPES 8

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

LEVENA ELISE LINDERHOLM PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270
Riverside County (760) 442-6700
CHERYL R HOFFMAN
Social Worker (Clinical)
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270
Riverside County (949) 274-3499
BETH N FREIMUTH MS
Counselor (Mental Health)
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270
Riverside County (877) 502-3218
HAZELDEN BETTY FORD FOUNDATION
Substance Abuse Rehabilitation Facility
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270
Riverside County (800) 257-7800
DR. AMANDA GHAMSARI DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270
Riverside County (866) 771-9485
OLATUNDE BOSU
Family Medicine (Addiction Medicine)
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-4130
HAZELDEN BETTY FORD FOUNDATION
Substance Abuse Rehabilitation Facility
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270
Riverside County (800) 257-7800
JUAN M URRUTIA MS, SUDCC IV
Counselor (Addiction (Substance Use Disorder))
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 92270
Riverside County (760) 837-8930

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 Otis Greene's NPI number?

The NPI number for Otis Greene is 1740893361. It was assigned to this individual provider in the NPPES registry on August 24, 2020. The provider is also known as Kamau Akili Shabazz Substance Use Disord.

Where is Otis Greene located?

Otis Greene practices at 39407 Vista Del Sol, Rancho Mirage, CA 92270. The listed phone number is (877) 502-3218.

What is Otis Greene's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Otis Greene was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.