Jeannine Carmen Kofford, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A70824 Issued in CA

Practice address

24582 Del Prado
Ste H
Dana Point, CA 92629-3843

Phone

(949) 493-7777

Fax

(949) 388-7264

NPI assigned

Mar 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1710946876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24582 DEL PRADO",
            "address_2": "STE H",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293843",
            "telephone_number": "949-493-7777",
            "fax_number": "949-388-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24582 DEL PRADO",
            "address_2": "STE H",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293843",
            "telephone_number": "949-493-7777",
            "fax_number": "949-388-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFORD",
        "first_name": "JEANNINE",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Yoshino DPT Atc Physical Therapy a Professional Corporation
• Larissa Emily Kibort, CADC
• Daniel Christopher Kimbley, DC
• Jeffrey R. Kindseth, DDS
• Kofford Medical Corp.
• Eileen M Kramer, PSY.D.
• Cathryn Ann Kruger, APCC
• Kyle Jordan Physical Therapy Consulting PC
• Lynn Marie Kyne, OTR/L
• L Snyder Inc

• Family Medicine Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.