MR. KENNETH JAMES GRIFFITHS M.D.
NPI 1760563068
Family Medicine in San Diego, CA

Active since October 17, 2006PECOS Enrolled
4094 4TH AVE, SAN DIEGO, CA 92103(619) 515-2545 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Dec 8, 2017 (2 updates tracked since 2017).

About Mr. Kenneth James Griffiths M.d. NPPES

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

MR. KENNETH JAMES GRIFFITHS M.D. (NPI 1760563068) is an individual family medicine provider in San Diego, California, licensed in California (C52451) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1760563068
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. KENNETH JAMES GRIFFITHSCredential: M.D.
Location Address4094 4TH AVESan Diego, CA 92103-2143
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 906-4623 · Fax (619) 906-4564
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1760563068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · C52451✔ Licensed in OH · 35071195G
Definition
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.
4094 4TH AVE, San Diego, CA 92103

Secondary Practice Location 1

Location 13544 30TH STSAN DIEGO, CA 92104-4120 · Phone (619) 515-2424 · Fax (619) 906-4564

Other Identifiers 1

Medicaid2102049OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth James Griffiths M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenneth Griffiths reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4094 4TH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
Nephrology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 526 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
4094 4TH AVE
SAN DIEGO, CA 92103
Internal Medicine
4094 4TH AVE
SAN DIEGO, CA 92103
Family Medicine
4094 4TH AVE
SAN DIEGO, CA 92103
Radiology (Diagnostic Radiology)
4094 4TH AVE, SUITE 200, MC 0834
SAN DIEGO, CA 92103
Social Worker (Clinical)
4094 4TH AVE
SAN DIEGO, CA 92103
Social Worker (Clinical)
4094 4TH AVE
SAN DIEGO, CA 92103
Physical Therapist
4094 4TH AVE
SAN DIEGO, CA 92103
Family Medicine (Sports Medicine)
4094 4TH AVE
SAN DIEGO, CA 92103

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 Kenneth Griffiths's NPI number?

The NPI number for Kenneth Griffiths is 1760563068. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Kenneth Griffiths located?

Kenneth Griffiths practices at 4094 4th Ave, San Diego, CA 92103. The listed phone number is (619) 515-2545.

What is Kenneth Griffiths's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Griffiths enrolled in Medicare?

Yes. Kenneth Griffiths is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Griffiths's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Griffiths reassigns Medicare benefits to 2 organizations: Family Health Centers Of San Diego Inc (San Diego, CA) and Regents Of The University Of California (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Griffiths's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Griffiths was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.