John Gregory Duffy MD, Apc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A054948 Issued in CA

Legal business name

JOHN GREGORY DUFFY MD, APC

Practice address

17821 E 17St
Suite 165
Tustin, CA 92780-2136

Phone

(714) 669-3158

Fax

(714) 669-3198

NPI assigned

Mar 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Gregory Duffy, M.D,

Title

President

Phone

(714) 669-3198

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1093985137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 E 17ST",
            "address_2": "SUITE 165",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802136",
            "telephone_number": "714-669-3158",
            "fax_number": "714-669-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 E 17ST",
            "address_2": "SUITE 165",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802136",
            "telephone_number": "714-669-3158",
            "fax_number": "714-669-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GREGORY DUFFY MD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-669-3198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A054948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.