Charles F. Tuffli Jr M.D. a Medical Corporation

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

G021128 Issued in CA

Legal business name

CHARLES F. TUFFLI JR M.D. A MEDICAL CORPORATION

Practice address

2100 Forest Ave
Suite 101
San Jose, CA 95128-1422

Phone

(408) 286-6900

Fax

(408) 286-6917

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Frederick Tuffli Jr., MD

Title

President

Phone

(408) 286-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1710909643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FOREST AVE",
            "address_2": "SUITE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281422",
            "telephone_number": "408-286-6900",
            "fax_number": "408-286-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FOREST AVE",
            "address_2": "SUITE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281422",
            "telephone_number": "408-286-6900",
            "fax_number": "408-286-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F. TUFFLI JR M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "TUFFLI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-286-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G021128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "00G211280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Jose, CA
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.