NPI 1164635173 · live from the CMS NPI Registry
Douglas Allen Green, M.D., Ph.D.
Radiology, Diagnostic Radiology in Temecula, CA. National Provider Identifier 1164635173, active.
NPI record
| NPI | 1164635173 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 31700 Temecula Pkwy, Temecula, CA 92592 |
| Practice phone | 951-600-3811 |
| Mailing address | Po Box 2389, Temecula, CA 92593 |
| Enumerated | May 7, 2007 |
| Last updated | November 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 3992-320 (WI) |
| Radiology, Diagnostic Radiology | 2085R0202X | MC-207 (GU) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD-52680 (IA) |
| General Practice | 208D00000X | A100113 (CA) |
| 2085N0700X | A100113 (CA) | |
| Radiology, Diagnostic Radiology | 2085R0202X | A100113 (CA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 16698C (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.