Healthcare Provider Details

I. General information

NPI: 1114862661
Provider Name (Legal Business Name): VETERANS TRANSITION CENTER OF CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 12TH ST
MARINA CA
93933-6001
US

IV. Provider business mailing address

220 12TH ST
MARINA CA
93933-6001
US

V. Phone/Fax

Practice location:
  • Phone: 831-744-2922
  • Fax:
Mailing address:
  • Phone: 831-744-2922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL LEWIS GRIFFITH
Title or Position: CEO
Credential:
Phone: 831-744-2922