Active NPI
Joseph Benjamin Griffin, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Luis Obispo, CA
National Provider Identifier
1992799399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- G066332
- Practice address
- 865 Aerovista PL
Suite 120
San Luis Obispo, CA 93401-7901 - Phone
- (805) 543-5908
- Fax
- (805) 543-3063
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | G066332 | CA | Primary |
Addresses
Primary practice location
865 Aerovista PL
Suite 120
San Luis Obispo, CA 93401-7901
Mailing address
793 E Foothill Blvd
PMB 135
San Luis Obispo, CA 93405-1615
Phone (805) 543-5908
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G663320 | Medicaid | CA | |
| 00G663320 | Other | CA | BLUE SHIELD PIN |
| 468 | Other | CMSP | |
| 169299 | Other | CCS & GHPP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G066332 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Coast Physical Medicine and Rehabilitation Medical Group Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17346/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Santa Barbara, CA
- NPI 1942248174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1992799399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 E FOOTHILL BLVD",
"address_2": "PMB 135",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051615",
"telephone_number": "805-543-5908",
"fax_number": "805-543-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 AEROVISTA PL",
"address_2": "SUITE 120",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017901",
"telephone_number": "805-543-5908",
"fax_number": "805-543-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "JOSEPH",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "G066332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G663320",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN",
"identifier": "00G663320",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMSP",
"identifier": "468",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCS & GHPP",
"identifier": "169299",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.