Active NPI
David W Duffner MD Medical Corp
- Orthopaedic Surgery Physician
- Rancho Mirage, CA
National Provider Identifier
1720194111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G87277
- Legal business name
- DAVID W DUFFNER MD MEDICAL CORP
- Practice address
- 71511 Highway 111 Ste a
Rancho Mirage, CA 92270 - Phone
- (760) 340-2600
- Fax
- (760) 340-2608
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David W. Duffner, M.D.
- Title
- Medical Doctor
- Phone
- (760) 416-4511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G87277 | CA | Primary |
Addresses
Primary practice location
71511 Highway 111 Ste a
Rancho Mirage, CA 92270
Mailing address
PO Box 1962
Palm Springs, CA 92263-1962
Phone (760) 416-4511
Other practice location 1
1180 N Indian Canyon Dr Ste 201
Palm Springs, CA 92262-4857
Phone (760) 416-4511
Other practice location 2
1180 N Indian Canyon Dr Ste 201
Palm Springs, CA 92262-4857
Phone (760) 416-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G872770 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553817600000",
"number": "1720194111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1962",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922631962",
"telephone_number": "760-416-4511",
"fax_number": "760-416-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71511 HIGHWAY 111 STE A",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-340-2600",
"fax_number": "760-340-2608"
}
],
"practiceLocations": [
{
"address_1": "1180 N Indian Canyon Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922624857",
"country_code": "US",
"telephone_number": "760-416-4511",
"fax_number": "760-416-4552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1180 N Indian Canyon Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922624857",
"country_code": "US",
"telephone_number": "760-416-4511",
"fax_number": "760-416-4552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAVID W DUFFNER MD MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2019-03-29",
"status": "A",
"authorized_official_last_name": "DUFFNER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "760-416-4511",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G87277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G872770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.