Individual provider Active NPI

Bradley Christopher Griffeth, M.D.

  • Diagnostic Radiology Physician
  • Murrieta, CA
National Provider Identifier
1265693428
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A120601 Issued in CA
Practice address
25470 Medical Center Dr Ste 101
Murrieta, CA 92562-4901
Phone
(866) 419-3372
Fax
(951) 894-1842
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME110358 FL
Diagnostic Radiology Physician 2085R0202X A120601 CA Primary

Addresses

Primary practice location

25470 Medical Center Dr Ste 101
Murrieta, CA 92562-4901

Mailing address

1545 W Florida Avenue
Hemet, CA 92543-3814
Phone (951) 791-1111

Other practice location 1

850 E Latham Ave Ste 101
Hemet, CA 92543-4391
Phone (866) 419-3372

Other practice location 2

26870 Cherry Hills Blvd
Sun City, CA 92586-2568
Phone (866) 419-3372

Other identifiers 1

IdentifierTypeStateIssuer
003859600MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140522001002 CA Practitioner - Diagnostic Radiology 8426227224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Eastern Virginia Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Imaging and Diagnostics Medical Group, Inc.Group PAC ID 1850374521, 3 clinicians

Practice addresses (Care Compare)

850 E Latham Ave
Suite 101
Hemet, CA 92543-4391
Phone (951) 929-9688

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120601CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Imaging & Diagnostics Medical Group, Inc. Diagnostic Radiology CurrentSince Feb 22, 2014 Accepting new patients
California Imaging & Diagnostics Medical Group, Inc. Diagnostic Radiology PastSince Jun 22, 2021 Accepting new patients

Locations

850 E Latham Ave
Ste 101
Hemet, CA 92543
Phone (866) 419-3372

1545 W Florida Ave
Hemet, CA 92543
Phone (951) 791-1111

25470 Medical Center Dr
Ste 101
Murrieta, CA 92562
Phone (951) 816-3268

26870 Cherry Hills Blvd
Sun City, CA 92586
Phone (866) 419-3372

44274 George Cushman Ct
Ste 108
Temecula, CA 92592
Phone (909) 929-9688

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1265693428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVENUE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "951-925-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624901",
            "telephone_number": "866-419-3372",
            "fax_number": "951-894-1842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 E Latham Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434391",
            "country_code": "US",
            "telephone_number": "866-419-3372",
            "fax_number": "951-766-1269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26870 Cherry Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "CA",
            "postal_code": "925862568",
            "country_code": "US",
            "telephone_number": "866-419-3372",
            "fax_number": "951-672-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFETH",
        "first_name": "BRADLEY",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME110358",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A120601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003859600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.