Individual provider Active NPI

John Winston Duggan Jr., M.D., M.S.

  • Specialist
  • San Jose, CA
National Provider Identifier
1851313514
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G683170 Issued in CA
Practice address
2516 Samaritan Dr Ste N
San Jose, CA 95124-4108
Phone
(408) 358-1600
Fax
(408) 358-1610
NPI assigned
Jul 24, 2006
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G683170 CA Primary

Addresses

Primary practice location

2516 Samaritan Dr Ste N
San Jose, CA 95124-4108

Mailing address

2516 Samaritan Dr Ste N
San Jose, CA 95124-4108
Phone (408) 358-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000073 CA Practitioner - Ophthalmology 6709043755 Reassigns benefits to 3 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Elite Eye Group IncGroup PAC ID 1951744630, 4 clinicians

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite E130
Palm Springs, CA 92262-4876
Phone (760) 320-8497

45175 Panorama Dr
Suite B
Palm Desert, CA 92260-4482
Phone (760) 776-8600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G683170CAMDSpecialist
68317CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Elite Eye Group Inc CurrentSince Mar 31, 2025 Accepting new patients
Desert Ophthalmology Medical Corporation CurrentSince Jan 1, 2022 Accepting new patients
Desert Ophthalmology Medical Corporation CurrentSince Jan 1, 2022 Accepting new patients
Azul Vision Inc. Past Accepting new patients

Locations

45175 Panorama Dr
Ste B
Palm Desert, CA 92260
Phone (760) 346-4665

72650 Fred Waring Dr
Ste 109
Palm Desert, CA 92260
Phone (760) 320-8497

1180 N Indian Canyon Dr
Ste E130
Palm Springs, CA 92262
Phone (760) 320-7051

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1851313514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DR STE N",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244108",
            "telephone_number": "408-358-1600",
            "fax_number": "408-358-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DR STE N",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244108",
            "telephone_number": "408-358-1600",
            "fax_number": "408-358-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "JOHN",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G683170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.