Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922030576 Individual Practitioner Male Practitioner

Michael Douglas Green , PA

Physician Assistant • San Pedro, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Green, PA is a certified Physician Assistant practicing in San Pedro, CA. With approximately 33 years of clinical experience since completing medical education in 1993, Michael Green delivers high-quality medical care to the local community at 1300 W 7TH ST.

Michael Green is affiliated with Reddy Urgent Care Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 W 7th St

San Pedro, CA 907323505

Telephone 3105145350
Fax 3105145421
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in San Pedro, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +22.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
16 Specialists

Practicing in San Pedro, CA (14617 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Green (33 Years) 33 Yrs
San Pedro Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
78 68 $314.00 $117.98
81002 Urinalysis, manual test
40 38 $30.00 $3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $273.26 $153.09
99213 Established patient office or other outpatient visit, typically 15 minutes
14 13 $314.00 $83.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA13335

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PA13335 (CA)

Hospital & Practice Group Affiliations

Reddy Urgent Care Inc

123 Atlantic Ave B, Long Beach, CA 908025121

Reddy Urgent Care Inc

123 Atlantic Ave, Long Beach, CA 908025121

Phone: 5622091569

Reddy Urgent Care Inc

4237 Atlantic Ave, Long Beach, CA 908072801

Phone: 5623361656

Reddy Urgent Care Inc

123 Atlantic Ave, Long Beach, CA 908025121

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Brian Fong , MD

Emergency Medicine

NPI 1033141676

Doctor of Medicine (M.D.)

Dr. Arlene Vernon , MD

Emergency Medicine

NPI 1073541991

Doctor of Medicine (M.D.)

Dr. Jeffrey Dayton , MD

Emergency Medicine

NPI 1124056056

Doctor of Medicine (M.D.)

Dr. Usha Rani Reddy , MD

Emergency Medicine

NPI 1144252446

Doctor of Medicine (M.D.)

Dr. Mark Joyner , MD

Emergency Medicine

NPI 1164460572

Doctor of Medicine (M.D.)

Ronnie Melendez

Emergency Medicine

NPI 1174555460

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2008

Registered at 1300 W 7TH ST, SAN PEDRO, CA 907323505 (Tel: 3105145350)

📍
Updated Business Mailing Address June 25, 2008

Registered at PO BOX 661360, ARCADIA, CA 910661360 (Tel: 6264470296)

👤
Provider Name / Credentials Updated June 25, 2008

Recorded as MICHAEL GREEN, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2008

Physician Assistant (License #PA13335 in CA)

🟢
Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Green. Be the first to share your experience!

Sign in to leave a review for Michael Green

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1922030576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: June 25, 2008
Sole Proprietor: Yes

Mailing Address

Po Box 661360

Arcadia, CA 910661360

Phone: 6264470296

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.