Calvin Joseph Duffaut III, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A114487 Issued in CA

Practice address

1920 Colorado Ave
Santa Monica, CA 90404-3414

Phone

(310) 319-4700

NPI assigned

Nov 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric MedicineAlso: Sports Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regents of the University of CaliforniaGroup PAC ID 2062312291, 71 clinicians

UC RegentsGroup PAC ID 9739083866, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunny Days Home Care, Inc. Home health agency, Glendale, CA, CCN 757017
• Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
• Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Merit-based Incentive Payment System (MIPS)

Final score

87.27 of 100Reported as group

Quality

80.41

Promoting interoperability

100

Improvement activities

40

Cost

68.99

Merit-based Incentive Payment System (MIPS)

Final score

92.7 of 100Reported as group

Quality

82.59

Promoting interoperability

100

Improvement activities

40

Cost

65.69

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (10 of 11)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regents of the University of California

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1528179793

  CA

  Medicare reassignment Care Compare group NPD
• UC Regents

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1275591802

  CA, Sports Medicine

  Medicare reassignment Care Compare group NPD
• Orthopaedic Hospital Medical Group Inc

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1942300918

  CA

  Medicare reassignment NPD
• Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • West Hills, CA
  • NPI 1144112699

  Sports Medicine

  Care Compare group NPD
• Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • Santa Monica, CA
  • NPI 1265856652
  Care Compare group
• Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • Santa Monica, CA
  • NPI 1447674999
  Care Compare group
• Regents of the University of California

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1609592161
  Care Compare group
• Orthopaedic Hospital

  • Home Infusion Agency
  • Los Angeles, CA
  • NPI 1689632374
  NPD
• Regents of the University of California

  • Orthopedic Physical Therapist
  • Los Angeles, CA
  • NPI 1679918395
  NPD
• Regents Univ of Calif Los Angeles

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)
• The Regents of the University of California

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1982849105
  NPD (past)
• UCLA Family Practice

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1477511046
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Regents of the Univ of California

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1427055839

  Hospital

  Care Compare affiliation
• Regents Univ of Calif Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1902803315

  Hospital

  Care Compare affiliation
• Sunny Days Home Care, Inc.

  • Home Health Agency
  • Burbank, CA
  • NPI 1013522085
  Care Compare affiliation

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1497056154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COLORADO AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043414",
            "telephone_number": "310-319-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 16th St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041249",
            "country_code": "US",
            "telephone_number": "310-319-1234",
            "fax_number": "424-259-6560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ucla Medical Plz Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900247000",
            "country_code": "US",
            "telephone_number": "310-319-1234",
            "fax_number": "424-259-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFAUT",
        "first_name": "CALVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A114487",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A114487",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A114487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Michelle Dubin
• Charles Frederick Dubin
• Lamont Lee Dubose, AMFT, CADC I
• Sessen Dudek, MD
• Norma M Duenas, LMFT
• Annette Dugan, PT
• Ana Corcimaru Dugar, M.D.
• Darreasha Angelica Dukes
• David Lynn Dull
• Constantine Dumas, R.PH

• All providers in Santa Monica, CA
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.