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

Richard Green, PA-C

Individual provider Medical Physician Assistant · NPI 1649624040

Richard Green, PA-C is a Medical Physician Assistant in Clovis, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1555 Shaw Ave Ste 101
Clovis, CA 93611-4096
Phone: (559) 324-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 53321 (CA)

Record details

NPI number1649624040
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 21, 2016
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

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