Active NPI
Stephen Randolph Griffith, M.D.
- Psychiatry Physician
- Chowchilla, CA
National Provider Identifier
1548427487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C34670
- Practice address
- 21633 Avenue 24
Chowchilla, CA 93610-9650 - Phone
- (559) 665-6100
- Fax
- (559) 665-6125
- NPI assigned
- May 19, 2008
- Last updated
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C34670 | CA | Primary |
Addresses
Primary practice location
21633 Avenue 24
Chowchilla, CA 93610-9650
Mailing address
5098 N Van Ness Blvd
Fresno, CA 93711-2850
Phone (559) 431-7465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C34670 | CA | MD | Psychiatry Physician |
| 34670 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Department of Corrections &Rehabilitation | Past | Accepting new patients | |
| State of California | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Chowchilla, CA
- NPI 1073710398
-
dba California Correctional Health Care Services
- Prison Health Clinic/Center
- Chowchilla, CA
- NPI 1316322647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1548427487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5098 N VAN NESS BLVD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937112850",
"telephone_number": "559-431-7465",
"fax_number": "559-431-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21633 AVENUE 24",
"city": "CHOWCHILLA",
"state": "CA",
"postal_code": "936109650",
"telephone_number": "559-665-6100",
"fax_number": "559-665-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "STEPHEN",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C34670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chowchilla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.