Individual provider Active NPI

Michael Ginn Griesinger, M.D.

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1336556604
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A155029 Issued in CA
Practice address
9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Phone
(858) 266-5000
NPI assigned
Jul 17, 2014
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A155029 CA Primary

Addresses

Primary practice location

9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297

Mailing address

9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Phone (858) 266-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20190131002129 CA Practitioner - Emergency Medicine 0547507378 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Docs ApcGroup PAC ID 2860928629, 23 clinicians
Palomar Emergency Physicians, IncGroup PAC ID 9830593730, 71 clinicians
Team Physicians of Northern California Medical Group IncGroup PAC ID 7113215146, 84 clinicians

Practice addresses (Care Compare)

1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (310) 379-2134

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 465-0711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
85.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155029CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 13, 2018 Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 13, 2018 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Dec 1, 2020 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Dec 1, 2020 Accepting new patients
Wound Docs Apc CurrentSince Jan 28, 2025 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Feb 12, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Whole Person Care Clinic PastSince May 28, 2023 Accepting new patients

Locations

27141 Aliso Creek Rd
Ste 235
Aliso Viejo, CA 92656
Phone (562) 800-3321

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

333 H St
Ste 2080
Chula Vista, CA 91910

678 Third Ave
Chula Vista, CA 91910

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1703 Termino Ave
Ste 106
Long Beach, CA 90804
Phone (310) 552-0146

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

9455 Clairemont Mesa Blvd
San Diego, CA 92123
Phone (858) 266-2600

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mgriesinger18710@syhealth.direct-ci.com
  • Direct secure messaging: mgriesinger230835@santaclaravalley.direct-ci.net

Organizations & group practices 11

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 4

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1336556604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231297",
            "telephone_number": "858-266-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231297",
            "telephone_number": "858-266-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESINGER",
        "first_name": "MICHAEL",
        "middle_name": "GINN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2021-11-22",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A155029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.