MEDICARE: MR. JOHN DAVID MCCAFFERY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G83049	CA

General Provider Information

NPI Number	:	1770537631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN DAVID MCCAFFERY M.D.

Provider Business Mailing Address
First Line	:	5333 HOLLISTER AVE STE 155
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2444
Country	:	US
Telephone Number	:	805-964-6926
Fax Number	:	805-967-7896

Provider Business Practice Location Address
First Line	:	5333 HOLLISTER AVE
Second Line	:	SUITE 231
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2341
Country	:	US
Telephone Number	:	805-964-6926
Fax Number	:	805-967-7896

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	08/25/2020

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