Active NPI
Ronald Griffin, M.D.
- Gastroenterology Physician
- Loma Linda, CA
National Provider Identifier
1164516316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G36306
- Practice address
- 11201 Benton Street
Jerry L. Pettis Vamc
Loma Linda, CA 92357 - Phone
- (909) 583-6100
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G36306 | CA | Primary |
Addresses
Primary practice location
11201 Benton Street
Jerry L. Pettis Vamc
Loma Linda, CA 92357
Mailing address
11201 Benton Street
Jerry L. Pettis Vamc
Loma Linda, CA 92357
Phone (909) 583-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36306 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164516316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 BENTON STREET",
"address_2": "JERRY L. PETTIS VAMC",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92357",
"telephone_number": "909-583-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 BENTON STREET",
"address_2": "JERRY L. PETTIS VAMC",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92357",
"telephone_number": "909-583-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G36306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.