Individual provider Active NPI

David Lee Daugherty, M.D.

  • Orthopaedic Hand Surgery Physician
  • Oceanside, CA
National Provider Identifier
1679575344
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A47884 Issued in CA
Practice address
3905 Waring Rd
Oceanside, CA 92056-4405
Phone
(760) 724-9000
Fax
(760) 724-3686
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X A47884 CA Primary
Orthopaedic Surgery Physician 207X00000X A47884 CA

Addresses

Primary practice location

3905 Waring Rd
Oceanside, CA 92056-4405

Mailing address

3905 Waring Rd
Oceanside, CA 92056-4405
Phone (760) 724-9000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070301000590 CA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2163524646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tri City Orthopaedic Surgery Medical Group Inc Orthopaedic Surgery CurrentSince Apr 1, 2011 Accepting new patients
Tri-City Orthopaedic Surgery Medical Group Inc Orthopaedic Surgery CurrentSince Apr 1, 2011 Accepting new patients
Scripps Health Current Accepting new patients

Locations

6121 Paseo del Norte
Ste 200
Carlsbad, CA 92011
Phone (760) 448-9050

3998 Vista Way
Ste B
Oceanside, CA 92056
Phone (760) 724-5173

3905 Waring Rd
Oceanside, CA 92056
Phone (760) 477-1350

Interoperability endpoints

  • Direct secure messaging: ddaugherty@osnc2021.srs-direct.com
  • Direct secure messaging: ddaughterty32081@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1679575344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-724-9000",
            "fax_number": "760-724-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-724-9000",
            "fax_number": "760-724-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A47884",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A47884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.