NPIMap

Individual provider Active NPI

Bonnie Jean Griffin, PA

  • Physician Assistant
  • Ojai, CA
National Provider Identifier
1801985114
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
16572 Issued in CA
Practice address
117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone
(805) 646-7246
Fax
(805) 646-8936
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 16572 CA Primary

Addresses

Primary practice location

117 Pirie Rd
Suite D
Ojai, CA 93023-3166

Mailing address

117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone (805) 646-7246

Other identifiers 5

IdentifierTypeStateIssuer
951683892OtherCAOTHER INSURANCE
RHM18553HMedicaidCA
RHM08608FMedicaidCA
RHM08609FMedicaidCA
ZZT40394FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914001429 CA Practitioner - Physician Assistant 0547293011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Group of Ventura County IncGroup PAC ID 0345218160, 42 clinicians

Practice addresses (Care Compare)

10885 Telegraph Rd
Ventura, CA 93004-1272
Phone (805) 647-7704

117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone (805) 646-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16572CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System Past Accepting new patients
Community Memorial Health System Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bonnie.griffin.1@21226.direct.athenahealth.com

Organizations & group practices 4

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1801985114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PIRIE RD",
            "address_2": "SUITE D",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233166",
            "telephone_number": "805-646-7246",
            "fax_number": "805-646-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PIRIE RD",
            "address_2": "SUITE D",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930233166",
            "telephone_number": "805-646-7246",
            "fax_number": "805-646-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "16572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCE",
            "identifier": "951683892",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM18553H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08608F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08609F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40394F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

Verify at the official NPI Registry.