Individual provider Active NPI

Carol Elizabeth Griffin, DO

  • Family Medicine Physician
  • Arcata, CA
National Provider Identifier
1912269408
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A16542 Issued in CA
Practice address
1600 Weeot Way
Arcata, CA 95521-4734
Phone
(707) 825-5000
Fax
(707) 825-6747
NPI assigned
Jun 12, 2012
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T1279 ME
Family Medicine Physician 207Q00000X A-1905-15 NM
Family Medicine Physician 207Q00000X 20A16542 CA Primary

Addresses

Primary practice location

1600 Weeot Way
Arcata, CA 95521-4734

Mailing address

1600 Weeot Way
Arcata, CA 95521-4734
Phone (707) 825-5000

Other practice location 1

2426 Buhne St
Eureka, CA 95501-3207
Phone (707) 443-4666

Other practice location 2

2316 Harrison Ave
Eureka, CA 95501-3217
Phone (707) 442-0478

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
I20180621002739 CA Practitioner - Osteopathic Manipulative Medicine 0345499901 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Humboldt del Norte Independent Practice AssociationGroup PAC ID 1658367776, 3 clinicians
Thrive Wellness IncorporatedGroup PAC ID 4284075177, 7 clinicians

Practice addresses (Care Compare)

2316 Harrison Ave
Eureka, CA 95501-3217
Phone (707) 442-0478

770 11TH St
Arcata, CA 95521-5838
Phone (707) 267-7931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16542CAMDAcupuncturist
20A16542CAMDFamily Medicine Physician
A-1905-15NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers CurrentSince Apr 22, 2024 Accepting new patients
Humboldt del Norte Independent Practice Association Family Medicine CurrentSince Jun 26, 2023 Accepting new patients
United Indian Health Services, Inc. CurrentSince Jun 15, 2018 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
United Indian Health Services, Inc. CurrentSince Jun 15, 2018 Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince Jul 1, 2020 Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince Jul 1, 2020 Accepting new patients
Open Door Community Health Centers CurrentSince Apr 22, 2024 Accepting new patients
Thrive Wellness Incorporated CurrentSince Mar 2, 2024 Accepting new patients
Planned Parenthood Shasta Diablo Inc Current Accepting new patients
Planned Parenthood: Shasta-Diablo, Inc. Past Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

1600 Weeot Way
Arcata, CA 95521
Phone (707) 825-5000

3800 Janes Rd
#101
Arcata, CA 95521
Phone (707) 822-1385

770 11th St
Arcata, CA 95521
Phone (707) 267-7931

785 18th St
Arcata, CA 95521
Phone (707) 822-2481

3100 Cohasset Rd
Chico, CA 95973
Phone (530) 342-2949

2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300

2316 Harrison Ave
Eureka, CA 95501
Phone (707) 442-0478

2350 Buhne St
Ste A
Eureka, CA 95501
Phone (707) 443-4593

2426 Buhne St
Eureka, CA 95501
Phone (707) 442-4038

2662 Harris St
Eureka, CA 95503
Phone 707443446314

Interoperability endpoints

  • Direct secure messaging: carrie.griffindo.p1@direct.ppnorcal.nextgenshare.com
  • Direct secure messaging: cgriffin813526@direct.ochin.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1912269408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5000",
            "fax_number": "707-825-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5000",
            "fax_number": "707-825-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2426 Buhne St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013207",
            "country_code": "US",
            "telephone_number": "707-443-4666",
            "fax_number": "707-445-4499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2316 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013217",
            "country_code": "US",
            "telephone_number": "707-442-0478",
            "fax_number": "707-443-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "T1279",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1905-15",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.