JACK W. GRIFFITH, III, D.O.
NPI 1104126457
Dermatology in Rancho Cucamonga, CA

Active since November 02, 2010
7365 CARNELIAN STREET, SUITE 137, RANCHO CUCAMONGA, CA 91730(909) 948-8888(909) 948-8839 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack W. Griffith, Iii, D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK W. GRIFFITH, III, D.O. (NPI 1104126457) is a healthcare organization registered as a dermatology in Rancho Cucamonga, California and active in the NPI registry since November 2010. The organization lists Jack Walter Griffith, Owner, as its authorized official.

NPPES Registry Identity

NPI1104126457
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJACK W. GRIFFITH, III, D.O.
Location Address7365 CARNELIAN STREET, SUITE 137Rancho Cucamonga, CA 91730-1100
Mailing Address7365 Carnelian Street, Suite 137Rancho Cucamonga, CA 91730-1100 · (909) 948-8888 · Fax (909) 948-8839
Fax(909) 948-8839
Organization SubpartNo
Authorized OfficialJack Walter GriffithOwner · (909) 948-8888
Enumeration DateNovember 2, 2010
Last NPPES UpdateMay 28, 2014
NPI 1104126457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · 20A9405
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 20A9405 (CA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 20A9405 (CA)
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License 20A9405 (CA)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 20A9405 (CA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 20A9405 (CA)
7365 CARNELIAN STREET, Rancho Cucamonga, CA 91730

Other Identifiers 1

Medicare PIN020A94050CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
7365 CARNELIAN STREET, SUITE 137
RANCHO CUCAMONGA, CA 91730
Counselor (Mental Health)
7365 CARNELIAN STREET, SUITE 132
RANCHO CUCAMONGA, CA 91730
Hospice Care, Community Based
7365 CARNELIAN STREET, SUITE 220
RANCHO CUCAMONGA, CA 91730
Obstetrics & Gynecology
7365 CARNELIAN STREET, SUITE 125
RANCHO CURAMONGA, CA 91730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack W. Griffith, III, D.O.'s NPI number?

The NPI number for Jack W. Griffith, III, D.O. is 1104126457. It was assigned to this organization in the NPPES registry on November 2, 2010.

Where is Jack W. Griffith, III, D.O. located?

Jack W. Griffith, III, D.O. is located at 7365 Carnelian Street Suite 137, Rancho Cucamonga, CA 91730. The listed phone number is (909) 948-8888.

What is Jack W. Griffith, III, D.O.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Jack W. Griffith, III, D.O. was last updated on May 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.