Active NPI
Jeffrey Kaufman MD, Inc
- Urology Physician
- Santa Ana, CA
National Provider Identifier
1366655292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G35977
- Legal business name
- JEFFREY KAUFMAN MD, INC
- Practice address
- 720 N Tustin Ave Ste 101
Santa Ana, CA 92705-3606 - Phone
- (714) 973-4600
- Fax
- (714) 547-1259
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Evan Kaufman, M.D.
- Title
- President
- Phone
- (714) 973-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G35977 | CA | Primary |
Addresses
Primary practice location
720 N Tustin Ave Ste 101
Santa Ana, CA 92705-3606
Mailing address
720 N Tustin Ave Ste 101
Santa Ana, CA 92705-3606
Phone (714) 973-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G359770 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1183939200000",
"number": "1366655292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N TUSTIN AVE STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053606",
"telephone_number": "714-973-4600",
"fax_number": "714-547-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N TUSTIN AVE STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053606",
"telephone_number": "714-973-4600",
"fax_number": "714-547-1259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY KAUFMAN MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-09",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "EVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-973-4600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "G35977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G359770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.