Active NPI
Gerald Dieter Griffin, MD, PHARMD
- General Practice Physician
- Monterey, CA
National Provider Identifier
1215985205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A37105
- Practice address
- 23625 Holman Hwy
Community Hospital of the Monterey Peninsula
Monterey, CA 93940 - Phone
- (831) 625-4511
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A37105 | CA | Primary |
Addresses
Primary practice location
23625 Holman Hwy
Community Hospital of the Monterey Peninsula
Monterey, CA 93940
Mailing address
P.O. Box HH
Monterey, CA 93942
Phone (831) 625-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A371050 | Medicaid | CA |
Other names 1
- Dr. Jerry Dieter Griffin
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37105 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1215985205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX HH",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93942",
"telephone_number": "831-625-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23625 HOLMAN HWY",
"address_2": "COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "831-625-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "GERALD",
"middle_name": "DIETER",
"name_prefix": "Dr.",
"credential": "MD, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A37105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A371050",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JERRY",
"last_name": "GRIFFIN",
"middle_name": "DIETER",
"prefix": "DR.",
"credential": "MD, PHARMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.