Individual provider Active NPI

Patrick Glenn McCaffery, M.D.

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1164500633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G10952 Issued in CA
Practice address
6792 Jardines Dr
Huntington Beach, CA 92647-6628
Phone
(714) 847-1569
Fax
(714) 848-4875
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G10952 CA Primary

Addresses

Primary practice location

6792 Jardines Dr
Huntington Beach, CA 92647-6628

Mailing address

6792 Jardines Dr
Huntington Beach, CA 92647-6628
Phone (714) 847-1569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G10952CAMDOphthalmology Physician
10952CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: pmccaffery62101@direct.llu.edu

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164500633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6792 JARDINES DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476628",
            "telephone_number": "714-847-1569",
            "fax_number": "714-848-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6792 JARDINES DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476628",
            "telephone_number": "714-847-1569",
            "fax_number": "714-848-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFERY",
        "first_name": "PATRICK",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G10952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.