Active NPI
Maureen Lorraine Griffin, ACUPUNCTURIST
- Acupuncturist
- San Bruno, CA
National Provider Identifier
1760775597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 3814
- Practice address
- 383 Palomar CT
San Bruno, CA 94066-4711 - Phone
- (650) 871-0771
- NPI assigned
- May 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 252043 | CA | |
| Home Health Registered Nurse | 163WH0200X | 252043 | CA | |
| Acupuncturist | 171100000X | AC 3814 | CA | Primary |
Addresses
Primary practice location
383 Palomar CT
San Bruno, CA 94066-4711
Mailing address
383 Palomar CT
San Bruno, CA 94066-4711
Phone (650) 871-0771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252043 | CA | MD | Home Health Registered Nurse |
| AC 3814 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1760775597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 PALOMAR CT",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940664711",
"telephone_number": "650-871-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 PALOMAR CT",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940664711",
"telephone_number": "650-871-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MAUREEN",
"middle_name": "LORRAINE",
"name_prefix": "Ms.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "252043",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "252043",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 3814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.