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

Douglas William Green, MD

Individual provider Vascular Surgery Physician · NPI 1386739605

Douglas William Green, MD is a Vascular Surgery in Santa Rosa, California. Graduated from Harvard Medical School in 1997, 29 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Harvard Medical School
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

121 Sotoyome St
Santa Rosa, CA 95405-4823
Phone: (707) 549-3141
Fax: (707) 546-7351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A90305 (CA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence A90305 (CA)

Record details

NPI number1386739605
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESDecember 15, 2021
Mailing address121 Sotoyome St, Santa Rosa, CA 95405-4823

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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