Individual provider · Type 1 NPI

Tanner James Green

Physician Assistant · Simi Valley, CA

NPI number 1093473647 Active

Practice location

2975 Sycamore Dr
Simi Valley, CA 93065-1201

Call (805) 955-6107 Map

Mailing address

1203 Flynn Rd Unit 160
Camarillo, CA 93012-6203

Other practice locations

  • 2525 Erringer Rd, Simi Valley, CA 93065-2352 · (805) 527-1404
  • 137 E Thousand Oaks Blvd, Thousand Oaks, CA 91360-5707 · (805) 379-4574

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X60441 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093473647

Tanner James Green's National Provider Identifier is 1093473647, issued on Dec 1, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Simi Valley, CA. The record was last updated on Mar 27, 2026.