KELLY GRIFFIN (NPI# 1659637403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659637403 |
| Entity Type | Individual |
| Full Name | KELLY GRIFFIN |
| Credential | MD |
| Practice Address |
4860 Y St Ste 1600 Sacramento CA 95817-2307 |
| Practice Telephone | 9167343630 |
| Practice Fax Number | 9167345636 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2014-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A128061 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1609148972 | Kelly Shenea Griffin | Social Worker | 6508 Wandering Creek Dr, Charlotte, NC 28216-8011 | 2012-02-02 |
| 1174786735 | Kelly A Griffin | Psychologist | 2090 Celebration Dr Ne Ste 212, Grand Rapids, MI 49525-9200 | 2008-07-03 |
| 1841700374 | Kelly A Griffin | Counselor | 5837 Hamilton Ave, Cincinnati, OH 45224-2923 | 2017-10-11 |
| 1609392380 | Kelly Michelle Griffin | Occupational Therapist | 11808 Grant St Fl 100, Omaha, NE 68164-3616 | 2017-08-15 |
| 1295006963 | Kelly Griffin | Specialist/Technologist | 204 Main Street, Andover, NH 03216 | 2012-01-26 |
| 1548543663 | Kelly S Griffin | Speech-Language Pathologist | 831 Mcdow Dr, Rock Hill, SC 29732-2415 | 2011-09-25 |
| 1760774632 | Kelly Griffin | Marriage & Family Therapist | 117 N B St, Lompoc, CA 93436-6901 | 2011-05-10 |
| 1053637454 | Kelly Michelle Griffin | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2010-04-12 |
| 1225289523 | Kelly Marie Griffin | Internal Medicine | 525 E 68th St, Box 130, New York, NY 10065-4870 | 2008-10-06 |
| Street Address |
4860 Y ST STE 1600 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992981484 | Winnie Joyce Gandingco | Family Medicine | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2008-01-14 |
| 1255968764 | Jameson Forshee | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2020-03-25 |
| 1770110058 | Natasha Alejandra Miramontes | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2020-03-25 |
| 1679100283 | Shreeya Raman | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2020-03-24 |
| 1255968939 | Austin Jack Hilt | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2020-03-24 |
| 1033746722 | Sandy Ngo Moubarek | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2020-03-24 |
| 1770110322 | Chaudy Sotoudeh | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2020-03-24 |
| 1598227183 | Neda Arora | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2019-04-02 |
| 1770045478 | Shanon Eloria Astley | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2019-04-02 |
| 1629530217 | Arielle Clute | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638327 | Fast Medical Care LLC | Family Medicine | 342 Main Ave, Sacramento, CA 95838-2063 | 2020-04-16 |
| 1386275246 | Zsm Medical Services Inc | Family Medicine | 8 Cain Ct, Sacramento, CA 95834-1067 | 2020-01-30 |
| 1083265565 | Rajwinder Kaur | Family Medicine | 11 Poinsettia Ct, Sacramento, CA 95838-2282 | 2019-09-25 |
| 1629630314 | Archway Health Care Services Inc | Family Medicine | 8950 Cal Center Dr Ste 112, Sacramento, CA 95826-3236 | 2019-07-02 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1487186334 | Emilie Dempsey | Family Medicine | 2801 27th St, Sacramento, CA 95818-3221 | 2017-03-30 |
| 1396198958 | River City Medical Group Inc | Family Medicine | 7311 Greenhaven Dr, Suite 145, Sacramento, CA 95831-3572 | 2016-07-19 |
| 1215382197 | Manpreet Kaur Gill | Family Medicine | 3308 El Camino Ave # 300-434, Sacramento, CA 95821-6327 | 2016-04-28 |
| 1457764235 | Sharndeep Kaur Bains | Family Medicine | 10470 Old Placerville Road, Ste 100, Sacramento, CA 95827-2539 | 2014-06-09 |
| 1346650306 | Queena Dai | Family Medicine | 1201 Alhambra Blvd Ste 230, Sacramento, CA 95816-5241 | 2014-04-30 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.