DR. CALVIN JOSEPH DUFFAUT III


Address: 1920 Colorado Ave, Santa Monica, CA 90404-3414
Phone: 3103194700

DR. CALVIN JOSEPH DUFFAUT III (NPI# 1497056154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497056154
Entity Type Individual
Full Name DR. CALVIN JOSEPH DUFFAUT III
Credential M.D.
Practice Address 1920 Colorado Ave
Santa Monica
CA 90404-3414
Mailing Address 5767 W Century Blvd
Suite 400
Los Angeles
CA 90045-5631
Practice Telephone 3103194700
Enumeration Date 2010-11-11
Last Update Date 2019-11-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QS0010X Family Medicine
Specialization: Sports Medicine
A114487 CA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine A114487 CA Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics A114487 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 16th St Ste 2100, Santa Monica, CA 904041249 3103191234 4242596560
100 Ucla Medical Plz Ste 100, Los Angeles, CA 900247000 3103191234 4242596560

Office Location

Street Address 1920 COLORADO AVE
City SANTA MONICA
State CA
Zip Code 90404-3414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275591802 Uc Regents Ucla Family Health Center Family Medicine 1920 Colorado Ave, Santa Monica, CA 90404-3414 2006-05-03
1396364147 Fernando Jose Avila-garibay Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2020-04-13
1528694593 Pinting Chen Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2020-03-20
1366905283 Michelle Okoreeh Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2019-04-08
1245792712 Ann Marie Hernandez Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2019-04-03
1033670138 Olivia Taeko Ishibashi Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2019-03-29
1194286047 Colleen O'neil-tennant Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2019-03-25
1104386069 Spencer Mccaffrey Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2019-03-25
1437618469 Jolie Portanova Cooperman Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2019-03-19
1649739764 Nelson Boland Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2019-03-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306453352 Jasmine Burton Physical Therapist 1714 17th Street, Santa Monica, CA 90404 2020-09-24
1003431685 Cintia Haydee Ctibor Behavior Technician 1869 9th Street, Santa Monica, CA 90404 2020-06-10
1073137261 Sydney Kristine Valerio Counselor 1869 9th St, Santa Monica, CA 90404 2020-06-03
1710507082 James Gilbert Cunningham Marriage & Family Therapist 1708 Olympic Blvd, Santa Monica, CA 90404 2020-04-16
1841763687 Crystal Monique Mckinley X Counselor 1865 9th St, Santa Monica, CA 90404 2019-01-04
1952872749 Cesar O Munoz Licensed Vocational Nurse 1865 9th St., Santa Monica, CA 90404 2018-12-06
1023596574 Joseph J Pinzone Md Inc Internal Medicine 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 2018-08-06
1548763535 Alan Rubenstein Dds Inc Dentist 1260 15th St., #703, Santa Monica, CA 90404 2018-03-15
1669993382 Aaron Wilson Counselor 1453 16th Street, Santa Monica, CA 90404 2017-07-03
1922472471 Chianni Lin Acupuncturist 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 2015-11-20
Find all providers in zip 90404

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932423225 Douglas Li Pediatrics 1260 15th St Ste 1024, Santa Monica, CA 90404-1145 2010-03-16
1457582934 Shahrouz Daniel Ganjian Pediatrics 2021 Santa Monica Blvd Ste 245e, Santa Monica, CA 90404-2132 2009-08-02
1427285816 Jayme E. Heath Pediatrics 2825 Santa Monica Blvd Ste 104, Santa Monica, CA 90404-2429 2009-06-12
1891919205 Carla V. Tardio Pediatrics 1450 10th St., Suite 304, Santa Monica, CA 90401-2838 2007-04-13
1346369311 Kristin Brett Pelinka Pediatrics 2216 Santa Monica Blvd Ste 204, Santa Monica, CA 90404-2317 2007-03-28
1376681445 Richard Frederic Levy Pediatrics 934 21st St, Santa Monica, CA 90403-3433 2007-02-02
1548354129 Tenth Street Pediatric Medical Group, Inc. Pediatrics 1450 10th Street, Suite 304, Santa Monica, CA 90401-2838 2006-10-03
1316050743 Rebecca Dimundo Pediatrics 2210 Santa Monica Blvd Ste 0, Santa Monica, CA 90404-2313 2006-08-17
1639180623 Aziz Nourmand Pediatrics 2001 Santa Monica Blvd Ste 865w, Santa Monica, CA 90404-2128 2006-08-11
1316982713 Maria Elena Lara Pediatrics 1776 Main Street, Rand, Santa Monica, CA 90407 2006-06-19
Find all providers in SANTA MONICA

Competitor

Search similar providers

City SANTA MONICA
Zip Code 90404

Improve Information

Please comment or provide details below to improve the information on DR. CALVIN JOSEPH DUFFAUT III.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches