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

Johnny Greene

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689282618

Johnny Greene is a Physician Assistant in Huntington Park, California. Qualified in 2020, 6 years ago. Practices with Exer Medical Corporation, a 333-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2623 E Slauson Ave
Huntington Park, CA 90255-2926
Phone: (323) 583-1931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 N Pepper Ave, Colton, CA 92324-1801 — (909) 580-3390

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60202 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1689282618
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Exer Medical Corporation — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Huntington Park