Griffin & Reed a Medical Corporation

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

7526T Issued in CA

Legal business name

GRIFFIN & REED A MEDICAL CORPORATION

Practice address

651 Fulton Ave
Sacramento, CA 95825-4813

Phone

(916) 483-2525

Fax

(916) 483-2636

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kwang S Kim, M.D.NPI 1841326212

Title

Owner President

Phone

(916) 483-2525

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• J Robert Griffin Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 10

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

• Kwang Soo Kim, MD

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1841326212
  Medicare reassignment Care Compare group Authorized official
• William Payne Richardson, O.D.

  • Optometrist
  • Auburn, CA
  • NPI 1588685044
  Medicare reassignment Care Compare group NPD
• Crestley Patricia Wong, OD

  • Optometrist
  • Sierra Vista, AZ
  • NPI 1811663594

  CA

  Medicare reassignment Care Compare group NPD
• Joanna Wong, OD

  • Optometrist
  • New York, NY
  • NPI 1477233633

  CA

  Medicare reassignment Care Compare group NPD
• Nilufar Maboudi, M.D.

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1194851311
  Medicare reassignment Care Compare group
• Jocelyn Kim-Dunlavey, MD

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1023403003

  Single Specialty

  Medicare reassignment NPD
• Carmen Perez Moreno, O.D.

  • Optometrist
  • Roseville, CA
  • NPI 1861756454
  Medicare reassignment NPD
• Rachel Sather, OD

  • Optometrist
  • Sacramento, CA
  • NPI 1346912383
  Medicare reassignment NPD
• Brian William Rothlisberger, MD

  • Ophthalmology Physician
  • Roseville, CA
  • NPI 1609893338
  Care Compare group
• Robert Melrose, O.D.

  • Optometrist
  • Stockton, CA
  • NPI 1659485175
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1487707667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254813",
            "telephone_number": "916-483-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254813",
            "telephone_number": "916-483-2525",
            "fax_number": "916-483-2636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Medical Plaza Dr Ste 2805",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612865",
            "country_code": "US",
            "telephone_number": "916-784-2020",
            "fax_number": "916-784-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRIFFIN & REED A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "916-483-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7526T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12003T",
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "A068743",
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "G53735",
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "A91190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD6373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J Robert Griffin Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "J Robert Griffin Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allyson Grieco
• Micheal Aaron Griego
• Caleb Vandett Grieme, MD
• Ashley Nicole Grierson
• Steven Griffen, M.D.
• Griffin Dialysis LLC (Calvine Dialysis)
• Anthony Griffin
• Aubrey Griffin
• Clareese Griffin
• Darren Griffin

• Corneal and Contact Management Optometrist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.