Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHANAEL GIDEON GREEN
Active Sole ProprietorNATHANAEL GIDEON GREEN is a Peer Specialist healthcare provider located in LAKE FOREST, California. NPI 1225923931 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · LAKE FOREST, CA
Registration Details
- NPI Number
- 1225923931
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2025 (1.1843959107424 yrs)
- Last Updated
- Jun 11, 2025
- License
-
MPSS-UCZFAE
- Sole Proprietor
- Yes
Practice Information
- Address
-
23072 LAKE CENTER DR STE 115LAKE FOREST, CA, 926302880Browse CA providers · Browse ZIP 92630
- Phone
- 9494069694
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in LAKE FOREST, CA
| Name | Credential | NPI |
|---|---|---|
| CLAUDIA LAVINI | — | 1528746716 |
| RAUL FERNANDEZ | — | 1568263986 |
| ZAKIA SADAAT BASHIR | — | 1902607328 |
| DINA TABIBZADA | — | 1366337107 |
| MIGUEL CARVENTE HERNANDEZ | — | 1679460141 |
| BEI-MIN HOFFNAGLE | — | 1730076217 |
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.