Provider Demographics
NPI:1770537631
Name:MCCAFFERY, JOHN DAVID (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DAVID
Last Name:MCCAFFERY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5333 HOLLISTER AVE STE 155
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2444
Mailing Address - Country:US
Mailing Address - Phone:805-964-6926
Mailing Address - Fax:805-967-7896
Practice Address - Street 1:5333 HOLLISTER AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2341
Practice Address - Country:US
Practice Address - Phone:805-964-6926
Practice Address - Fax:805-967-7896
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG83049174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist