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Gary M. Green, MD

Infectious Disease Physician in Santa Rosa, CA · enumerated 2006.

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

National Provider Identifier

1124102108

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Registry record

Entity type Individual (Type 1)
Name Gary M. Green
Credential MD
Sex Male
Practice address 34 Mark West Springs Rd Fl 3, Santa Rosa, CA, 95403
Fax (707) 573-5438
Enumeration date Oct 25, 2006
Last updated in NPPES Sep 25, 2019

Taxonomy & licenses

207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians · License G80599 (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
00G805990 Medicaid CA -
G80599 Other CA STATE MEDICAL LICENSE

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 Gary Green?
The National Provider Identifier (NPI) for Gary Green is 1124102108, a Type 1 (individual) record in the CMS NPPES registry.
Where does Gary Green 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 2019-09-25.