NPIMap

Organization Active NPI

H. Michael Jaffin, M. D., Inc

Doing business as H. Michael Jaffin, M.D.

  • Specialist
  • Antioch, CA
National Provider Identifier
1336238542
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G30854 Issued in CA
Legal business name
H. MICHAEL JAFFIN, M. D., INC
Doing business as
H. Michael Jaffin, M.D.
Practice address
3720 Sunset Lane
Suite #a
Antioch, CA 94509-6124
Phone
(925) 706-7788
Fax
(925) 706-7988
NPI assigned
Oct 12, 2006
Last updated
Feb 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Mrs. Avona R. Laudenslayer
Title
Office Manager
Phone
(925) 706-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G30854 CA Primary

Addresses

Primary practice location

3720 Sunset Lane
Suite #a
Antioch, CA 94509-6124

Mailing address

3720 Sunset Lane
Suite #a
Antioch, CA 94509-6124
Phone (925) 706-7788

Other identifiers 1

IdentifierTypeStateIssuer
00G308540OtherCAMEDICARE ID

Other names 1

  • H. Michael Jaffin, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

3701 Lone Tree Way
Ste 5
Antioch, CA 94509
Phone (925) 350-0906

3720 Sunset Ln
Ste A
Antioch, CA 94509
Phone (925) 706-7788

8157 Brentwood Blvd
Brentwood, CA 94513
Phone (925) 516-1395

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1336238542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SUNSET LANE",
            "address_2": "SUITE #A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096124",
            "telephone_number": "925-706-7788",
            "fax_number": "925-706-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SUNSET LANE",
            "address_2": "SUITE #A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096124",
            "telephone_number": "925-706-7788",
            "fax_number": "925-706-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. MICHAEL JAFFIN, M. D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "LAUDENSLAYER",
        "authorized_official_first_name": "AVONA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-706-7788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G30854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00G308540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H. Michael Jaffin, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.