Look up the most recent NPI and PECOS records

Dylan Griffiths

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Dylan Griffiths does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1548757263
Provider Type
Individual
Full Name
Griffiths, Dylan
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/18/2018
Last Updated
8/18/2023

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-0001

(619) 532-7575

Unlisted Fax

Mailing Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-7575

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License A163800 California
Code 171000000X	Description Military Health Care Provider Other Service Providers	License A163800 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Dylan Griffiths

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Campbell, Leonie

Knox, Derrick Maurice

Ezedi, Ikemefuna Ikem

Adkins, Caleb Forrest

Lu, Amanda

Ely, Isabelle

Bresslour-Rashap, Elan Harder

Lafontant, Hendrix

Rosso, Andrew Joseph

Elliott, Isabel Clare