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Active NPI 1093473647 Individual Practitioner Male Practitioner

Tanner James Green

Physician Assistant • Simi Valley, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tanner Green is a certified Physician Assistant practicing in Simi Valley, CA. With approximately 5 years of clinical experience since completing medical education in 2021, Tanner Green delivers high-quality medical care to the local community at 2975 SYCAMORE DR.

Tanner Green maintains professional affiliations with Synergy Observation Specialists Pc, Southern California Permanente Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2975 Sycamore Dr

Simi Valley, CA 930651201

Telephone 8059556107
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Simi Valley, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -10.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
35 Specialists

Practicing in Simi Valley, CA (14617 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Green (5 Years) 5 Yrs
Simi Valley Specialty Average (15.3 Years) 15.3 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
99284 Emergency department visit with moderate level of medical decision making
65 64 $736.00 $101.68
99285 Emergency department visit for life threatening or functioning severity
52 50 $1173.00 $147.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
20 20 $52.00 $7.01

Medical Specialties & State Licenses

CMS Verified: 2026-03-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 60441

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.

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

4949 Market St, Ventura, CA 930037851

Phone: 8776080044

Southern California Permanente Medical Group

5601 De Soto Ave, Woodland Hills, CA 913676701

Phone: 8187192000

Synergy Observation Specialists Pc

2975 Sycamore Dr, Simi Valley, CA 930651201

Phone: 8059556000

Southern California Permanente Medical Group

888 S Hill Rd, Ventura, CA 930038400

Phone: 8054776400

Secondary Practice Locations

137 E Thousand Oaks Blvd

Thousand Oaks, CA 913605707

Phone: 8053794574

2525 Erringer Rd

Simi Valley, CA 930652352

Phone: 8055271404

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Nancy Sun , MD

Emergency Medicine

NPI 1821146051

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 27, 2026

Registered at 2975 SYCAMORE DR, SIMI VALLEY, CA 930651201 (Tel: 8059556107)

📍
Updated Business Mailing Address March 27, 2026

Registered at 1203 FLYNN RD UNIT 160, CAMARILLO, CA 930126203 (Tel: 8058044168)

NPI Profile Active December 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2021

Registered at 15031 RINALDI ST, MISSION HILLS, CA 913451207 (Tel: 8051818365)

📍
Updated Business Mailing Address December 01, 2021

Registered at 227 GREEN HEATH PL, THOUSAND OAKS, CA 913611109

👤
Provider Name / Credentials Updated December 01, 2021

Recorded as TANNER GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2021

Physician Assistant (License #60441 in CA)

🟢
Initial NPI Registration & Enumeration December 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093473647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2021
Last Update: March 27, 2026
Sole Proprietor: No

Mailing Address

1203 Flynn Rd Unit 160

Camarillo, CA 930126203

Phone: 8058044168

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.