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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEWELLIUS ORRYON GREEN

Deactivated Sole Proprietor

JEWELLIUS ORRYON GREEN is a Day Training/Habilitation healthcare provider located in LANCASTER, California. NPI 1053965434 is deactivated in the NPPES registry. Verify at CMS.

Day Training/Habilitation · LANCASTER, CA

This NPI has been deactivated. The record was deactivated on November 5, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1053965434
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2019 (1.2849315068493 yrs)
Last Updated
Apr 28, 2025
Deactivated
Nov 5, 2020
Sole Proprietor
Yes

Practice Information

Address
506 W JACKMAN ST
LANCASTER, CA, 935342531
Browse CA providers · Browse ZIP 93534
Phone
6617262850
Primary Specialty
Day Training/Habilitation
373H00000X
Additional Specialty
Community Health Worker
Additional Specialty
Day Training/Habilitation

Other Day Training/Habilitation Providers in LANCASTER, CA

Name Credential NPI
GEORGIA BAKER 1770615304
EBONY ELIZABETH NORVILLE 1568665743
MS. CRISTINA WILLIAMS 1629269204
CARRIE VALENTINE 1427213339
MR. JAMES A COHEN 1154604601
MRS. SYLVIA V GRANADOS 1114295888
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.