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David A Greene, MD

Geriatric Medicine (Internal Medicine) Physician in Santa Rosa, CA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104802594

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Registry record

Entity type Individual (Type 1)
Name David A Greene
Credential MD
Sex Male
Practice address 5555 Montgomery Dr, Santa Rosa, CA, 95409
Fax (707) 579-6979
Enumeration date Dec 19, 2005
Last updated in NPPES Jun 22, 2021

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 20639 (KY) Secondary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License C148038 (CA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
64206394 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for David Greene?
The National Provider Identifier (NPI) for David Greene is 1104802594, a Type 1 (individual) record in the CMS NPPES registry.
Where does David Greene practice?
The practice location on file with NPPES is in Santa Rosa, CA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-22.