Madyson Shea Griffiths
Individual provider Active NPI Registered Nurse · Escondido, CA
NPI 1295545499 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1295545499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 95403886 (CA)
- Practice address
- 490 N Grape St
Escondido, CA 92025-3079 - Phone
- (760) 975-9939
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95403886 | CA | MD | Registered Nurse |
| 163W00000X | CA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 163W00000X | CA | |
| Registered Nurse | 163W00000X | 95403886 | CA | Yes |
Addresses
Primary practice location
490 N Grape St
Escondido, CA 92025-3079
Mailing address
1202 Morena Blvd Ste 100
San Diego, CA 92110-3842
Phone (619) 275-0822
Other providers in Escondido, CA
- Nelly Gregorian-Deleon
- Anne Gregorio
- Emily Claire Gremett
- Riley Ailene Griffin
- Tracey Michelle Griffin
- Brandon Grigg
- Steven Thomas Griggs
- George John Grim Jr.
- Steven Groff Jr.
- Sabrina Elly Grovom
All providers in Escondido, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.