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

Otis Greene III, SUBSTANCEUSEDISORD

Individual provider Community Health Worker · NPI 1740893361

Otis Greene III, SUBSTANCEUSEDISORD is a Community Health Worker in Rancho Mirage, California. Works from 4 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

39407 Vista Del Sol
Rancho Mirage, CA 92270-3283
Phone: (877) 502-3218
Show map & directions

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

Additional practice locations (3)

  • 506 W Graham Ave Ste 106, Lake Elsinore, CA 92530-3665 — (888) 638-8457
  • 10700 Santa Monica Blvd Ste 310, Los Angeles, CA 90025-6588 — (866) 230-8275
  • 11720 El Camino Real Ste 200, San Diego, CA 92130-2244 — (866) 616-9360

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1740893361
Entity typeIndividual (Type 1)
GenderMale
Credentials SUBSTANCEUSEDISORD
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

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