Provider Demographics
NPI:1386815868
Name:JOHN D MCCAFFERY M.D. INC
Entity Type:Organization
Organization Name:JOHN D MCCAFFERY M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MCCAFFERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-964-6926
Mailing Address - Street 1:5333 HOLLISTER AVE STE 231
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-3324
Mailing Address - Country:US
Mailing Address - Phone:805-964-6926
Mailing Address - Fax:805-967-7896
Practice Address - Street 1:5333 HOLLISTER AVE STE 231
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-3324
Practice Address - Country:US
Practice Address - Phone:805-964-6926
Practice Address - Fax:805-967-7896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG83049207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW22559Medicare PIN