CHARLES GRIFFIN (NPI# 1285735001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285735001 |
| Entity Type | Individual |
| Full Name | CHARLES GRIFFIN |
| Credential | MD |
| Practice Address |
2105 Forest Ave San Jose CA 95128 |
| Mailing Address |
Po Box 45072 San Francisco CA 94145-5072 |
| Practice Telephone | 4089472992 |
| Practice Fax Number | 4089473470 |
| Mailing Telephone | 4089472992 |
| Mailing Fax Number | 4089473470 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G50626 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G506260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801974621 | Charles Francis Griffin | Dentist | 3277 S Cratrer Rd, Petersburg, VA 23805 | 2006-11-01 |
| 1588671911 | Charles Berlin Griffin | Internal Medicine | 8817 Bell Mountain Dr, Austin, TX 78730-2852 | 2006-08-01 |
| 1740251735 | Charles D Griffin | Nurse Practitioner | 14 Mill St, Belmont, NH 03220-4432 | 2006-01-30 |
| 1588927099 | Charles David Griffin | Social Worker | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2012-06-19 |
| 1871852921 | Charles Edward Griffin IIi | Anesthesiology | 1514 Jefferson Hwy, Brent House Room 634, New Orleans, LA 70121-2429 | 2012-05-10 |
| 1669757530 | Charles Brian Griffin | Pharmacist | 99 Jefferson Ave, Washington, PA 15301 | 2011-10-11 |
| 1275864662 | Charles Kirby Griffin | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 200, Portland, OR 97223-5442 | 2010-01-25 |
| 1225199854 | Charles Lynn Griffin | Counselor | 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2006-12-13 |
| 1497841126 | Charles Jeffrey Griffin | Internal Medicine | 5788 Eckhert Rd, San Antonio, TX 78240-3900 | 2006-10-04 |
| 1285694646 | Charles Clifton Griffin II | Chiropractor | 1933 E Main St, Cortez, CO 81321-3039 | 2006-03-27 |
| Street Address |
2105 FOREST AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760475321 | Mrimaging of California, A Medical Corporation | Radiology | 2105 Forest Ave, Ste M, San Jose, CA 95128-1425 | 2005-08-29 |
| 1821602541 | Holly Maureen Milligan | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2020-09-01 |
| 1447724646 | County of Santa Clara | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2019-01-22 |
| 1356813240 | Lyle Mroz | Pharmacist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-12-18 |
| 1467921247 | O'connor Hospital | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-11-21 |
| 1821565755 | Thuy Nhu Tran | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-10-29 |
| 1306311576 | Emergency Physicians Associates San Jose PC | Emergency Medicine | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-10-03 |
| 1013492685 | Ryan Kar | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1471 | 2018-09-30 |
| 1205318128 | Pacific Neurophysiologists LLC | Electrodiagnostic Medicine | 2105 Forest Ave, San Jose, CA 95128-9512 | 2018-09-06 |
| 1952809808 | Anya Marie Milrod Holmquist | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1174814214 | Bhargav Raman | Radiology | 2039 Forest Ave Ste 205, San Jose, CA 95128-4817 | 2011-04-25 |
| 1649596792 | Omnirad Medical Group, Inc. | Radiology | 2410 Samaritan Dr Ste 101, San Jose, CA 95124-3909 | 2010-04-14 |
| 1275775207 | Priyanka Jha | Radiology | 750 Cedarville Ln, San Jose, CA 95133-2076 | 2009-04-06 |
| 1346345360 | John Randolph Jinkins | Radiology | 828 S Bascom Ave Ste 110, San Jose, CA 95128-2652 | 2006-09-14 |
| 1356352660 | Radiological Associates Medical Group, Inc | Radiology | 2410 Samaritan Drive, Suite 102, San Jose, CA 95124-3909 | 2006-08-11 |
| 1780621763 | California Advanced Imaging Medical Assoc., Inc. | Radiology | 550 S Winchester Blvd Ste 110, San Jose, CA 95128-2526 | 2006-05-31 |
| 1558322180 | Michael Glenn Myers | Radiology | 6496 Deer Hollow Dr, San Jose, CA 95120-1634 | 2006-03-31 |
| 1568453421 | Rory Satterfield | Radiology | 798 S Winchester Blvd, San Jose, CA 95128-2928 | 2005-10-31 |
| 1528054582 | Glenn Strome | Radiology | 3031 Tisch Way Ste 400, San Jose, CA 95128-2531 | 2005-09-26 |
| Find all providers in SAN JOSE | ||||
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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.