Individual provider Active NPI

H Michael Jaffin, MD

  • Orthopaedic Surgery Physician
  • Antioch, CA
National Provider Identifier
1770579625
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G30854 Issued in CA
Practice address
3720 Sunset Lane
Suite a
Antioch, CA 94509-6124
Phone
(925) 706-7788
Fax
(925) 706-7988
NPI assigned
Sep 26, 2005
Last updated
Feb 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G30854 CA Primary

Addresses

Primary practice location

3720 Sunset Lane
Suite a
Antioch, CA 94509-6124

Mailing address

3720 Sunset Lane
Suite a
Antioch, CA 94509-6124
Phone (925) 706-7788

Other names 1

  • Dr. Henry Michael Jaffin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1770579625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SUNSET LANE",
            "address_2": "SUITE A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096124",
            "telephone_number": "925-706-7788",
            "fax_number": "925-706-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SUNSET LANE",
            "address_2": "SUITE A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096124",
            "telephone_number": "925-706-7788",
            "fax_number": "925-706-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFIN",
        "first_name": "H",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G30854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRY",
            "last_name": "JAFFIN",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.