Individual provider Active NPI

Guadalupe Yawi Griffini, PTA

  • Physical Therapy Assistant
  • San Diego, CA
National Provider Identifier
1821752320
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
51385 Issued in CA
Practice address
9565 Waples St Ste 100
San Diego, CA 92121-2973
Phone
(858) 695-9444
NPI assigned
Oct 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 51385 CA Primary

Addresses

Primary practice location

9565 Waples St Ste 100
San Diego, CA 92121-2973

Mailing address

4377 Wilson Ave Apt 5
San Diego, CA 92104-1531
Phone (619) 947-1182

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

LicenseStateTypeSpecialty
51385CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1821752320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 WILSON AVE APT 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041531",
            "telephone_number": "619-947-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 WAPLES ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212973",
            "telephone_number": "858-695-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFINI",
        "first_name": "GUADALUPE",
        "middle_name": "YAWI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.