Active NPI
Richard a.K. Chaffoo, a Professional Corporation
- Plastic Surgery Physician
- La Jolla, CA
National Provider Identifier
1003977083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G54383
- Legal business name
- RICHARD A.K. CHAFFOO, A PROFESSIONAL CORPORATION
- Practice address
- 9850 Genesee Ave
Suite 330
La Jolla, CA 92037-1224 - Phone
- (858) 623-6333
- Fax
- (858) 623-0204
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Albert Kim Chaffoo, M.D.
- Title
- President
- Phone
- (858) 623-6333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G54383 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave
Suite 330
La Jolla, CA 92037-1224
Mailing address
9850 Genesee Ave
Suite 330
La Jolla, CA 92037-1224
Phone (858) 623-6333
National Provider Directory
National Provider DirectoryLocations
9850 Genesee Ave
Ste 330
La Jolla, CA 92037
Phone (858) 457-5904
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery of the Hand (Plastic Surgery) Physician
- La Jolla, CA
- NPI 1639271505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1003977083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 330",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-623-6333",
"fax_number": "858-623-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "SUITE 330",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-623-6333",
"fax_number": "858-623-0204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A.K. CHAFFOO, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "CHAFFOO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ALBERT KIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-623-6333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G54383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.