Jack W. Griffith, III, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JACK W. GRIFFITH, III, D.O.

Practice address

7365 Carnelian Street
Suite 137
Rancho Cucamonga, CA 91730-1100

Phone

(909) 948-8888

Fax

(909) 948-8888

NPI assigned

Feb 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack Walter Griffith III, D.O.NPI 1407884315

Title

Owner

Phone

(949) 948-8888

Specialties & licenses 6

Addresses

Tax ID family

Jack W Griffith III2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jack W. Griffith, III, D.O.

  • Dermatology Physician
  • Rancho Cucamonga, CA
  • NPI 1104126457
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack W Griffith III, DO

  • Dermatology Physician
  • Rancho Cucamonga, CA
  • NPI 1407884315
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1134425036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN STREET",
            "address_2": "SUITE 137",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301100",
            "telephone_number": "909-948-8888",
            "fax_number": "909-948-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN STREET",
            "address_2": "SUITE 137",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301100",
            "telephone_number": "909-948-8888",
            "fax_number": "909-948-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK W. GRIFFITH, III, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-948-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "20A9405",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "20A9405",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "20A9405",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "20A9405",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "20A9405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Jabbour, LMFT
• Amair Jaber
• Zachary Thomas Jacildone
• Cinthia Jacinto Torres, M.S., CCC-SLP
• Jack W. Griffith, III, D.O.
• Tselane Edina Jackosn, LVN
• Amanda Sue Jackson
• Amanique Jackson
• Blessing Renita Sachel Jackson
• Dyamond Jackson

• Dermatology Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.