Organization Active NPI

Michael L. Griffin, MD, Inc

  • Pediatric Cardiology Physician
  • San Mateo, CA
National Provider Identifier
1467584565
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
G63051 Issued in CA
Legal business name
MICHAEL L. GRIFFIN, MD, INC
Practice address
2051 Pioneer CT
San Mateo, CA 94403-1719
Phone
(650) 558-8280
Fax
(650) 558-8281
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. Michael Lee Griffin, M.D.NPI 1073543914
Title
Ceo
Phone
(650) 558-8280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X G63051 CA Primary

Addresses

Primary practice location

2051 Pioneer CT
San Mateo, CA 94403-1719

Mailing address

2051 Pioneer CT
San Mateo, CA 94403-1719
Phone (650) 558-8280

Other identifiers 2

IdentifierTypeStateIssuer
00G630510OtherCAMEDICAL
1073543914OtherCAINDIVIDUAL NPI

Other names 1

  • children's cardiology of the bay area Doing business as

National Provider Directory

National Provider Directory

Locations

2051 Pioneer Ct
San Mateo, CA 94403
Phone (650) 558-8280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1467584565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 PIONEER CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031719",
            "telephone_number": "650-558-8280",
            "fax_number": "650-558-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 PIONEER CT",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031719",
            "telephone_number": "650-558-8280",
            "fax_number": "650-558-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. GRIFFIN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-558-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "G63051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00G630510",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073543914",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "children's cardiology of the bay area",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.