Pam Griffin, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10577 Issued in CA

Practice address

5401 White LN
Bakersfield, CA 93309-6279

Phone

(661) 836-4000

Fax

(661) 847-4097

NPI assigned

Apr 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Valley Medical Group of Kern County, Inc.

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1376725374
  NPD (past)
• Valley Medical Group of Kern County, Inc.

  • Primary Care Clinic/Center
  • Bakersfield, CA
  • NPI 1720268261
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1740453059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 MOLOKAI DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933128281",
            "telephone_number": "661-496-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 WHITE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096279",
            "telephone_number": "661-836-4000",
            "fax_number": "661-847-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "PAM",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA10577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00789189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanell Gridiron
• Tonya Rochelle Grier
• Anabel Griffin
• Bobby Wayne Griffin
• Maya Lea Griffin
• Alesha Griffith
• Ashley Nicole Griffith, ASW
• Eddie Ralph Grijalva
• Lisa Monique Grijalva
• Maria Grijalva, AU.D.

• Medical Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.