NPIMap

Organization Active NPI

Michael S Duffy Sr DO Inc

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1316175342
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9616 Issued in CA
Legal business name
MICHAEL S DUFFY SR DO INC
Practice address
1501 5TH Ave Ste 200
San Diego, CA 92101-3224
Phone
(619) 647-5072
Fax
(619) 309-6264
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Dr. Michael Sean Duffy Sr., DO
Title
Medical Director
Phone
(619) 647-5072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A9616 CA Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 72004 CA

Addresses

Primary practice location

1501 5TH Ave Ste 200
San Diego, CA 92101-3224

Mailing address

1501 5TH Ave Ste 200
San Diego, CA 92101-3224
Phone (619) 647-5072

Other names 1

  • Pacific Medical Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Meditouch

National Provider Directory

National Provider Directory

Locations

1515 Jamacha Way
El Cajon, CA 92019
Phone (619) 590-1515

1501 5th Ave
San Diego, CA 92101
Phone (619) 306-3225

1501 5th Ave
Ste 101
San Diego, CA 92101

1501 5th Ave
Ste 201
San Diego, CA 92101

Practitioners & affiliated clinicians

Practitioners 6

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": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1316175342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 5TH AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013224",
            "telephone_number": "619-647-5072",
            "fax_number": "619-330-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 5TH AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013224",
            "telephone_number": "619-647-5072",
            "fax_number": "619-309-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S DUFFY SR DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-647-5072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9616",
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": "72004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Meditouch",
            "affiliation": "N",
            "address_1": "1501 5th Ave Ste 200",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921013224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pacific Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.