Individual provider Active NPI

Christine Griffin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montebello, CA
National Provider Identifier
1992124655
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5116 Issued in CA
Practice address
1417 W Beverly Blvd
Suite 104
Montebello, CA 90640-4123
Phone
(323) 721-6026
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5116 CA Primary

Addresses

Primary practice location

1417 W Beverly Blvd
Suite 104
Montebello, CA 90640-4123

Mailing address

1417 W Beverly Blvd
Suite 104
Montebello, CA 90640-4123
Phone (323) 721-6026

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610001136 CA Practitioner - Podiatry 2365666500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Medical GroupGroup PAC ID 2365606837, 3 clinicians

Practice addresses (Care Compare)

2544 E Washington Blvd C
Pasadena, CA 91107-1465
Phone (626) 798-1085

Merit-based Incentive Payment System (MIPS)

Final score
44.64 of 100Reported as group
Quality
49.88
Improvement activities
0
Cost
53.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue145
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5116CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Medical Group CurrentSince Jul 1, 2016 Accepting new patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery PastSince Sep 13, 2020 Accepting new patients
West Beverly Podiatry Group, Inc Past Accepting new patients

Locations

2544 E Washington Blvd
Ste C
Pasadena, CA 91107
Phone (626) 398-4069

Interoperability endpoints

  • Direct secure messaging: christinegriffin@wmgmia.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1992124655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 W BEVERLY BLVD",
            "address_2": "SUITE 104",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404123",
            "telephone_number": "323-721-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W BEVERLY BLVD",
            "address_2": "SUITE 104",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404123",
            "telephone_number": "323-721-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CHRISTINE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.