Individual provider Active NPI

George Herbert Grifka, M.D.

  • Cardiovascular Disease Physician
  • Santa Monica, CA
National Provider Identifier
1326189580
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G037263 Issued in CA
Practice address
2001 Santa Monica Blvd
670W
Santa Monica, CA 90404-2102
Phone
(310) 828-3001
Fax
(310) 453-8029
NPI assigned
Feb 9, 2007
Last updated
Mar 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G037263 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
670W
Santa Monica, CA 90404-2102

Mailing address

2001 Santa Monica Blvd
670W
Santa Monica, CA 90404-2102
Phone (310) 828-3001

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
I20100319000225 CA Practitioner - Cardiac Surgery 7113961707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
University of California, Geffen School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Santa Monica Blvd
670W
Santa Monica, CA 90404-2185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G037263CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Heart Associates Cardiovascular Disease CurrentSince Apr 15, 1987 Accepting new patients
Medical Imaging Center of Southern California CurrentSince Aug 1, 2019 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Robert Wagmeister M D a Medical Corporation PastSince Jan 29, 2008 Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

2001 Santa Monica Blvd
Ste 670W
Santa Monica, CA 90404
Phone (310) 828-3001

2827 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 453-1489

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1326189580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "670W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-3001",
            "fax_number": "310-453-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "670W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-3001",
            "fax_number": "310-453-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFKA",
        "first_name": "GEORGE",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G037263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.