MR. ANTHONY JAY DURFEE (NPI# 1548225303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548225303 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY JAY DURFEE |
| Credential | PA-C |
| Practice Address |
5471 Kearny Villa Rd Suite 200 San Diego CA 92123-1143 |
| Practice Telephone | 8585710606 |
| Practice Fax Number | 8585711933 |
| Mailing Telephone | 8585710606 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2010-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA17641 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | W17163 | 01 | |
| MEDICARE PROVIDER ID | WPA17641A | 01 | |
| MEDICARE PTAN | W17163 | 01 |
| Street Address |
5471 KEARNY VILLA RD SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003889528 | Robert Seth Howard | Anesthesiology | 5471 Kearny Villa Rd, Suite 100, San Diego, CA 92123-1151 | 2006-02-08 |
| 1659987881 | Richard H Bellars Md Inc | Anesthesiology | 5471 Kearny Villa Rd, San Diego, CA 92123-1151 | 2020-09-22 |
| 1225516024 | John Cronin Md PC | Clinic/Center | 5471 Kearny Villa Rd, Ste 200, San Diego, CA 92123-1143 | 2018-08-02 |
| 1356857221 | Oasis Surgery Center - Navy Resource Sharing | General Acute Care Hospital | 5471 Kearny Villa Rd, San Diego, CA 92123-1151 | 2017-12-14 |
| 1487192779 | Sd Diagnostics Inc | Clinic/Center | 5471 Kearny Villa Rd, Suite 202, San Diego, CA 92123-1105 | 2017-02-07 |
| 1144767542 | Sleep Data Holdings LLC | Durable Medical Equipment & Medical Supplies | 5471 Kearny Villa Rd, 200, San Diego, CA 92123-1151 | 2017-01-23 |
| 1003252834 | Sd Diagnostics Inc | Clinic/Center | 5471 Kearny Villa Rd, Ste 202, San Diego, CA 92123-1105 | 2013-05-20 |
| 1831322528 | Robert E. Berry, Do Pa | Orthopaedic Surgery | 5471 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1151 | 2009-08-27 |
| 1750513677 | Jacqueline Louise Becker | Physical Therapist | 5471 Kearny Villa Rd, 202, San Diego, CA 92123-1151 | 2009-08-11 |
| 1063651495 | Robert E. Berry, Do Pa | Orthopaedic Surgery | 5471 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1151 | 2009-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477932978 | Mobile Wound Care Physician Assistant Corporation | Physician Assistant | 2028 31st St, San Diego, CA 92104-5632 | 2015-05-29 |
| 1437454220 | Peter Deane Houston | Physician Assistant | 9040 Friars Rd Ste 230, San Diego, CA 92108-5860 | 2011-01-25 |
| 1720288087 | Laura Ruth Duffy | Physician Assistant | 1643 6th Ave, #204, San Diego, CA 92101-2757 | 2007-07-24 |
| 1861539348 | Norman K Moser | Physician Assistant | 34800 Bob Wilson Dr Suite 112, Nmcsd, San Diego, CA 92134-1112 | 2007-01-31 |
| 1538214515 | Shaun D Young | Physician Assistant | 8901 Activity Road, San Diego, CA 92126 | 2007-01-23 |
| 1174612170 | Jonathan Wu | Physician Assistant | 7525 Metropolitan Dr Ste 306, San Diego, CA 92108-4404 | 2006-10-11 |
| 1982798112 | Virginia Ann Floco | Physician Assistant | 3030 Childrens Way Ste 402, San Diego, CA 92123-4228 | 2006-10-03 |
| 1366464471 | Colleen Gustafson Espenschied | Physician Assistant | 2017 1st Ave, San Diego, CA 92101-2033 | 2006-07-25 |
| 1396719779 | Brian Joseph O'neill | Physician Assistant | 11532 Village Ridge Rd, San Diego, CA 92131-3905 | 2006-02-14 |
| 1619974623 | Kimberlee J Knox | Physician Assistant | 3307 4th Ave, San Diego, CA 92103-5703 | 2005-07-05 |
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| 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.