Healthcare Provider Details

I. General information

NPI: 1053393835
Provider Name (Legal Business Name): STEVEN GRIFFEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST UCDMC
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

3640 CODY WAY
SACRAMENTO CA
95864-1567
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-2737
  • Fax: 916-734-0811
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberG077150
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG077150
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: