Active NPI
John Paul Trafeli, M.D.
- Aerospace Medicine Physician
- Yuma, AZ
National Provider Identifier
1578536736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- A97517
- Practice address
- 2989 East Arow Street
Yuma, AZ 85365 - Phone
- (928) 269-5749
- NPI assigned
- Feb 8, 2006
- Last updated
- Mar 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 01053757A | IN | |
| Procedural Dermatology Physician | 207NS0135X | A97517 | CA | |
| Aerospace Medicine Physician | 2083A0100X | A97517 | CA | Primary |
Addresses
Primary practice location
2989 East Arow Street
Yuma, AZ 85365
Mailing address
PSC 851 Box 340
Fpo, AE 09834-0004
Phone (318) 439-8162
Other practice location 1
34800 Bob Wilson Dr
Nmcsd, Attn: Medical
San Diego, CA 92134-1098
Phone (619) 532-6460
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053757A | IN | MD | Dermatology Physician |
| A97517 | CA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1578536736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 851 BOX 340",
"city": "FPO",
"state": "AE",
"postal_code": "098340004",
"telephone_number": "318-439-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2989 EAST AROW STREET",
"city": "YUMA",
"state": "AZ",
"postal_code": "85365",
"telephone_number": "928-269-5749"
}
],
"practiceLocations": [
{
"address_1": "34800 Bob Wilson Dr",
"address_2": "NMCSD, ATTN: MEDICAL",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921341098",
"country_code": "US",
"telephone_number": "619-532-6460",
"fax_number": "619-532-6299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAFELI",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01053757A",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "A97517",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "CA",
"license": "A97517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.