Individual provider Active NPI

David Lundstedt Griffith, MD

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1790710903
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G62536 Issued in CA
Practice address
6475 Camden Ave Ste 105
San Jose, CA 95120-2847
Phone
(408) 997-9155
Fax
(408) 997-9106
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G62536 CA Primary

Addresses

Primary practice location

6475 Camden Ave Ste 105
San Jose, CA 95120-2847

Mailing address

6475 Camden Ave Ste 105
San Jose, CA 95120-2847
Phone (408) 997-9155

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
I20080701000403 CA Practitioner - Family Practice 3779655048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

6475 Camden Ave
Suite 105
San Jose, CA 95120-2847
Phone (408) 997-9155

Hospital & facility affiliations

  • Sequoia Home Health Home health agency, Milpitas, CA, CCN 058496
  • Ace Home Health Care & Hospice, Inc Home health agency, Orinda, CA, CCN 059461
  • Ascension Healthcare Services Home health agency, Campbell, CA, CCN 059765
  • Intouch Home Care, Inc. Home health agency, Santa Clara, CA, CCN 059774
  • Focus Health Home health agency, San Jose, CA, CCN 058354
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions80
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62536CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Current Accepting new patients
Stanford Health Care CurrentSince Sep 18, 2024 Accepting new patients
University Healthcare Alliance CurrentSince Sep 1, 2015 Accepting new patients
Stanford Health Care CurrentSince Sep 18, 2024 Accepting new patients
Affinity Medical Group Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

6475 Camden Ave
Ste 105
San Jose, CA 95120
Phone (408) 997-9155

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: dgriffith146680@direct.stanfordhealthcare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1790710903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 CAMDEN AVE STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202847",
            "telephone_number": "408-997-9155",
            "fax_number": "408-997-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 CAMDEN AVE STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202847",
            "telephone_number": "408-997-9155",
            "fax_number": "408-997-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "DAVID",
        "middle_name": "LUNDSTEDT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G62536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.