Organization Active NPI

Griffith Urology Clinic, PC

  • Specialist
  • Hanford, CA
National Provider Identifier
1184716342
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G72967 Issued in CA
Legal business name
GRIFFITH UROLOGY CLINIC, PC
Practice address
1004 N Douty St
Hanford, CA 93230-3723
Phone
(559) 582-4245
Fax
(559) 582-4298
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Lyle Dean Griffith, M.D.
Title
Physician
Phone
(559) 582-4245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G72967 CA Primary

Addresses

Primary practice location

1004 N Douty St
Hanford, CA 93230-3723

Mailing address

1004 N Douty St
Hanford, CA 93230-3723
Phone (559) 582-4245

Other identifiers 1

IdentifierTypeStateIssuer
00G729670MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1184716342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303723",
            "telephone_number": "559-582-4245",
            "fax_number": "559-582-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303723",
            "telephone_number": "559-582-4245",
            "fax_number": "559-582-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFITH UROLOGY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-582-4245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G72967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G729670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.