Active NPI
Michael L. Griffin, MD, Inc
- Pediatric Cardiology Physician
- San Mateo, CA
National Provider Identifier
1467584565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- G63051
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G630510 | Other | CA | MEDICAL |
| 1073543914 | Other | CA | INDIVIDUAL NPI |
Other names 1
- children's cardiology of the bay area
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Cardiology Physician
- San Mateo, CA
- NPI 1073543914
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.