Organization Active NPI

David W Duffner MD Medical Corp

  • Orthopaedic Surgery Physician
  • Rancho Mirage, CA
National Provider Identifier
1720194111
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G87277 Issued in CA
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

Updated by the provider on Mar 29, 2019

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G872770MedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.