TAYLOR MIZELL STUKES DUFFIN (NPI# 1649667585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649667585 |
| Entity Type | Individual |
| Full Name | TAYLOR MIZELL STUKES DUFFIN |
| Credential | MD |
| Practice Address |
1401 Avocado Ave Ste 802 Newport Beach CA 92660-7784 |
| Practice Telephone | 9496440970 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A166799 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2018-00778 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1401 AVOCADO AVE STE 802 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808526 | Andrea Binley | Physician Assistant | 1401 Avocado Ave Ste 802, Newport Beach, CA 92660-7784 | 2020-07-08 |
| 1821558347 | Angela J Carlson | Nurse Practitioner | 1401 Avocado Ave Ste 802, Newport Beach, CA 92660-7784 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104194679 | Carla Du Mont | Pediatrics | 29 Saint Tropez, Newport Beach, CA 92660-6834 | 2011-12-12 |
| 1366729857 | Stephen Cyrus Koffler | Pediatrics | 2906 Catalpa St, Newport Beach, CA 92660-3221 | 2011-11-10 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477737161 | Nazanin Sanaei | Pediatrics | 307 Placentia Ave Ste 107, Newport Beach, CA 92663-3307 | 2007-12-18 |
| 1093857021 | Richa Lal | Pediatrics | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660 | 2007-02-13 |
| 1982648192 | Jennifer Johnson | Pediatrics | 366 San Miguel Dr, Suite 209, Newport Beach, CA 92660-7817 | 2006-06-16 |
| 1912984741 | David Michelis | Pediatrics | 601 Dover Dr, Suite 7, Newport Beach, CA 92663-5735 | 2005-12-22 |
| 1215929310 | Elizabeth O'connell | Pediatrics | 1401 Avocado Ave, Suite 802, Newport Beach, CA 92660-7720 | 2005-08-16 |
| 1104820547 | Kristine Brown | Pediatrics | 510 Superior Ave Ste 200d, Newport Beach, CA 92663 | 2005-06-13 |
| 1396300208 | Kar's Pediatrics | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663-3304 | 2019-05-06 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.