Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack W Griffith III, DO

Individual provider MOHS-Micrographic Surgery Physician · NPI 1407884315

Dr. Jack W Griffith III, DO is a Dermatology in Rancho Cucamonga, California. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

8273 White Oak Ave
Rancho Cucamonga, CA 91730-7671
Phone: (909) 948-8888
Fax: (909) 948-8839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20A9405 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 20A9405 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 20A9405 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20A9405 (CA)

Record details

NPI number1407884315
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 29, 2006
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address8273 White Oak Ave, Rancho Cucamonga, CA 91730-7671

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare