Individual provider Active NPI

Carolyn Sue Griffith, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Maria, CA
National Provider Identifier
1720009269
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G71324 Issued in CA
Practice address
220 S Palisade Dr
#104
Santa Maria, CA 93454-8902
Phone
(805) 739-8710
Fax
(805) 739-8711
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G71324 CA Primary

Addresses

Primary practice location

220 S Palisade Dr
#104
Santa Maria, CA 93454-8902

Mailing address

300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5461

Other identifiers 2

IdentifierTypeStateIssuer
G71324OtherCAMED LICENSE
00G713240MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031223000550 CA Practitioner - Obstetrics/Gynecology 8022916303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor CurrentSince Nov 24, 2003 Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Nov 24, 2003 Accepting new patients

Locations

931 Walnut Ave
Carpinteria, CA 93013
Phone (805) 560-1050

301 N R St
Lompoc, CA 93436
Phone (805) 737-6400

345 Camino del Remedio
Santa Barbara, CA 93110
Phone (805) 681-5214

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

300 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 681-5220

300 N San Antonio Rd
Fl 2
Santa Barbara, CA 93110

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

2115 Centerpointe Pkwy
Santa Maria, CA 93455
Phone (805) 346-7230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720009269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316",
            "telephone_number": "805-681-5461",
            "fax_number": "805-681-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR",
            "address_2": "#104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548902",
            "telephone_number": "805-739-8710",
            "fax_number": "805-739-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G71324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "G71324",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G713240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.