Organization Active NPI

Richard a.K. Chaffoo, a Professional Corporation

  • Plastic Surgery Physician
  • La Jolla, CA
National Provider Identifier
1003977083
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G54383 Issued in CA
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

Updated by the provider on Jan 27, 2009

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.NPI 1639271505
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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.