Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanel Green, PA-C

Individual provider Physician Assistant · NPI 1235917196

Chanel Green, PA-C is a Physician Assistant in Costa Mesa, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

700 W 19th St
Costa Mesa, CA 92627-3517
Phone: (949) 866-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1235917196
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

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