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

Gary Alan Green, MD

Individual provider Internal Medicine Physician · NPI 1154345254

Gary Alan Green, MD is a Family Practice in Pacific Palisades, California. Qualified in 1983, 43 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
43
Licensed in
CA
In the registry since
2006
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

881 Alma Real Dr Ste 101
Pacific Palisades, CA 90272-3792
Phone: (310) 829-8923
Fax: (424) 212-5936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15200 W Sunset Blvd Ste 107, Pacific Palisades, CA 90272-3620 — (310) 459-7736

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G63969 (CA)

Record details

NPI number1154345254
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Pacific Palisades