Dominique Griffin, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95009310 Issued in CA

Practice address

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818

Phone

(310) 237-0461

Fax

(310) 945-3356

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tolwin Psychiatric Medical Group IncGroup PAC ID 9830127414, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.19 of 100Reported as group

Quality

53.33

Improvement activities

40

Cost

52.84

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tolwin Psychiatric Medical Group Inc

  • Psychiatry Physician
  • Culver City, CA
  • NPI 1740227545

  CA

  Medicare reassignment Care Compare group NPD
• Mellow Medical Inc a Professional Corporation

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1407275886

  CA

  Medicare reassignment NPD
• Culver City Psychological Associates, Inc.

  • Clinical Psychologist
  • Culver City, CA
  • NPI 1689684607
  NPD (past)
• Glenn Medical Center, LLC

  • Critical Access Hospital
  • Willows, CA
  • NPI 1619929759
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1164946992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 505",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326818",
            "telephone_number": "310-237-0461",
            "fax_number": "310-945-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 505",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326818",
            "telephone_number": "310-237-0461",
            "fax_number": "310-945-3356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13425 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914233974",
            "country_code": "US",
            "telephone_number": "818-305-6061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DOMINIQUE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95009310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshunn Latrice Green
• Alyssa Greer
• Anna R. Grellert
• Gretchen Kubacky, Psy.D., Inc.
• Chloe Grey
• Gayane Grigoryan
• Lisa Karen Grimes, PH.D.
• Tiffany Shantel Grimes, PHD
• Sarah Ann Grogan
• Elliot Gross, M.D.

• All providers in Culver City, CA
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.