Tanner James Green
NPI 1093473647ActiveIndividual· Physician Assistant· Simi Valley, CA
Physician Assistant with Southern California Permanente Medical Group and 2 other groups, practicing in Simi Valley, California. 141 Medicare patients in 2024, $14,246 paid; nearly all of their 673 Part D prescriptions were generic (93%). Lists Adventist Health Simi Valley as a hospital affiliation.
Overview
| NPI | 1093473647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 1, 2021 |
| Last updated in NPPES | Mar 27, 2026 |
| Certified by provider | Mar 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 60441 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 141 |
|---|---|
| Services billed | 187 across 27 procedure codes |
| Paid by Medicare | $14,246 |
Part D prescriptions in 2024
| Prescriptions (claims) | 673 · 687 30-day fills |
|---|---|
| Patients | 391 |
| Total drug cost | $8,388 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
- Ventura Orthopedics Medical Group IncOxnard, CA · 72 clinicians
- Synergy Observation Specialists PCSimi Valley, CA · 38 clinicians
Hospital affiliation
- Adventist Health Simi ValleySimi Valley, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 physician assistants in Simi Valley · All physician assistants in California