Fred Sufficool & Dan Griffin PTRS

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FRED SUFFICOOL & DAN GRIFFIN PTRS

Practice address

7200 Parkway Drive
Suite 104
La Mesa, CA 91942-1534

Phone

(619) 644-2170

Fax

(619) 644-2174

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen J Griswold

Title

Controller / Manager

Phone

(619) 644-2170

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Technician Support Services Industry, TSSI Home Medical Equipment Doing business as

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1508884271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 PARKWAY DRIVE",
            "address_2": "SUITE 104",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421534",
            "telephone_number": "619-644-2170",
            "fax_number": "619-644-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 PARKWAY DRIVE",
            "address_2": "SUITE 104",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421534",
            "telephone_number": "619-644-2170",
            "fax_number": "619-644-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED SUFFICOOL & DAN GRIFFIN PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "GRISWOLD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTROLLER / MANAGER",
        "authorized_official_telephone_number": "619-644-2170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY44577",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5614145",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA445770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Technician Support Services Industry, TSSI Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Susan Frank, LCSW
• Franklin D. Gaylis, M.D. Inc
• Franklin Kalmar M.D.
• Nina Franklin
• Patricia Ann Franzblau, L.C.S.W.
• Frederick W Close, MD, Inc
• Kellie Freeborn, NP
• Bria Freeman, OTR/L
• Hannah Freeman, MA, APCC
• Labrie S French-Asaro, MFT

• Durable Medical Equipment & Medical Supplies in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.