Kelly Griffin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A128061 Issued in CA

Practice address

4860 Y St Ste 1600
Sacramento, CA 95817-2307

Phone

(916) 734-3630

Fax

(916) 734-5636

NPI assigned

Apr 5, 2012

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chapa-de Indian Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Auburn, CA
  • NPI 1114057163

  CA

  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952998973

  CA

  Medicare reassignment NPD
• Chapa-de Indian Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Grass Valley, CA
  • NPI 1922138841
  Care Compare group
• Regents of the University of California

  • Multi-Specialty Clinic/Center
  • Folsom, CA
  • NPI 1154301745
  NPD

Specialty

Family Practice

Education

New York Medical College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chapa-de Indian Health Program, Inc. 54 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.griffin@cdih.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2014.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1659637403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 1600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 1600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-3630",
            "fax_number": "916-734-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A128061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Griffin
• Gary Duane Griffin, DDS
• Ian Griffin, MD
• Ivy Claire Griffin, MA, LMFT
• Jose M. Griffin, RADT-1
• Kirstin Griffin
• Lauren Toshiko Griffin
• Lisa Marie Griffin, PT
• Michael James Griffin, PH.D.
• Robert Charles Griffin, M.S.

• All providers in Sacramento, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.