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

Dr. Emily Ann Green, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1750476826

Dr. Emily Ann Green, MD is a Pathology in Travis AFB, California. Graduated from Saint Louis University School of Medicine in 2005, 21 years ago. Practices with Golden State Dermatology Associates, Inc, a 119-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
21
Trained at
Saint Louis University School of Medicine
Licensed in
CA, MO
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

101 Bodin Circle 60 Mdg/sgqh
Travis AFB, CA 94535-1800
Phone: (707) 861-5686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X · Licence A114053 (CA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 2005015819 (MO)

Record details

NPI number1750476826
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Golden State Dermatology Associates, Inc. — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Travis AFB