Organization Active NPI

Richard David Griffith MD, Inc.

  • Primary Care Clinic/Center
  • Cambria, CA
National Provider Identifier
1790201226
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RICHARD DAVID GRIFFITH MD, INC.
Practice address
6855 Kathryn Dr
Cambria, CA 93428-2015
Phone
(805) 835-5261
NPI assigned
Aug 16, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Richard David Griffith, MDNPI 1447309067
Title
President
Phone
(805) 835-5261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6855 Kathryn Dr
Cambria, CA 93428-2015

Mailing address

6855 Kathryn Dr
Cambria, CA 93428-2015
Phone (805) 835-5261

Other practice location 1

2150 Main St Ste 3
Cambria, CA 93428-3022
Phone (805) 835-5261

Other identifiers 2

IdentifierTypeStateIssuer
1447309067MedicaidCA
1144577347MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171012001240 CA Part B Supplier - Clinic/Group Practice 5496020745 Receives reassigned benefits from 6 practitioners
Practice locations: Cambria, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2196698Richard David Griffith MD, Inc.6855 Kathryn Dr, Cambria, CA 93428Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

2150 Main St
Ste 3
Cambria, CA 93428
Phone (805) 440-3283

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25380/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790201226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 KATHRYN DR",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934282015",
            "telephone_number": "805-835-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 KATHRYN DR",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934282015",
            "telephone_number": "805-835-5261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cambria",
            "state": "CA",
            "postal_code": "934283022",
            "country_code": "US",
            "telephone_number": "805-835-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD DAVID GRIFFITH MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-835-5261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447309067",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144577347",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.