Travis Griffin, SUDCC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

8436 Issued in CA

Practice address

218 E Commonwealth Ave
Fullerton, CA 92832-1911

Phone

(714) 992-4770

Fax

(714) 992-5475

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Western Pacific Med-Corp

  • Methadone Clinic
  • Mission Viejo, CA
  • NPI 1386280899
  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592697600000",
    "number": "1326577107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321911",
            "telephone_number": "714-992-4770",
            "fax_number": "714-992-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321911",
            "telephone_number": "714-992-4770",
            "fax_number": "714-992-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TRAVIS",
        "credential": "SUDCC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "8436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Alan Kubo, O.D., Apc
• Gregory J Valentine a C P C
• Dezire Gregory-Highshaw
• Harmonee Beth Gribkoff
• Elizabeth Griffin
• Liann Griffiths, O.D.
• Thomas Valley Grigsby, BS
• Alyssa Grimaldi
• Yesenia M Grimaldo
• Carol S Grunbaum

• Addiction (Substance Use Disorder) Counselor in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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.