OrganizationActive
Walter S Green MD Medical Corporation
NPI 1114120243 · Specialist · San Clemente, CA
Walter S Green MD Medical Corporation is a Specialist organization in San Clemente, CA (NPI 1114120243).
Provider details
- NPI number
- 1114120243
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Walter Green, Medical Doctor(949) 496-6066
- License
- A09766 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
657 Camino De Los Mares Ste 242
San Clemente, CA 92673-2811
Phone: (949) 496-6066
Street-level locationGet directions
Mailing address
657 Camino De Los Mares Ste 242
San Clemente, CA 92673-2811
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2009-01-10
Frequently asked questions
- What is Walter S Green MD Medical Corporation's NPI number?
- Walter S Green MD Medical Corporation's National Provider Identifier (NPI) is 1114120243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walter S Green MD Medical Corporation?
- Walter S Green MD Medical Corporation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Walter S Green MD Medical Corporation located?
- Walter S Green MD Medical Corporation's practice location on file with NPPES is 657 Camino De Los Mares Ste 242, San Clemente, CA 92673-2811.
- What is Walter S Green MD Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Walter S Green MD Medical Corporation is (949) 496-6066.
- Who is the authorized official for Walter S Green MD Medical Corporation?
- The authorized official listed on Walter S Green MD Medical Corporation's NPPES record is Walter Green, Medical Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walter S Green MD Medical Corporation's NPI active?
- Yes — Walter S Green MD Medical Corporation's NPI (1114120243) is active in the NPPES registry as of the last update on 2009-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.