MR. DONALD B DUFFORD PHD
NPI 1013922400
Psychologist - Clinical in San Jose, CA

Active since July 31, 2006Opted out of Medicare · through Jul 1, 2027
3880 S BASCOM AVE, SUITE 212, SAN JOSE, CA 95124(408) 559-9088(408) 377-7833 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Donald B Dufford Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONALD B DUFFORD PHD (NPI 1013922400) is an individual clinical provider in San Jose, California, licensed in California (PSY13444) and active in the NPI registry since July 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013922400
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. DONALD B DUFFORDCredential: PHD
Location Address3880 S BASCOM AVE, SUITE 212San Jose, CA 95124-2674
Mailing Address3668 Stance AveSoquel, CA 95073-2768 · (831) 479-1960 · Fax (408) 377-7833
Fax(408) 377-7833
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJune 14, 2026
NPI 1013922400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY13444
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3880 S BASCOM AVE, San Jose, CA 95124

Other Identifiers 3

MedicaidPSY134440CA
OtherPSY13444CA · Ca State License
MedicaidPSY134441CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Donald B Dufford Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
3880 S BASCOM AVE
SAN JOSE, CA 95124
Pediatrics (Neonatal-Perinatal Medicine)
3880 S BASCOM AVE
SAN JOSE, CA 95124
Personal Emergency Response Attendant
3880 S BASCOM AVE, SUITE 208
SAN JOSE, CA 95124
Family Medicine
3880 S BASCOM AVE, #109
SAN JOSE, CA 95124
Acupuncturist
3880 S BASCOM AVE, SUITE 109
SAN JOSE, CA 95124
Chiropractor (Occupational Health)
3880 S BASCOM AVE, SUITE 109
SAN JOSE, CA 95124
Chiropractor
3880 S BASCOM AVE, SUITE #109
SAN JOSE, CA 95124
Social Worker (Clinical)
3880 S BASCOM AVE, SUITE 212,
SAN JOSE, CA 95124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Dufford's NPI number?

The NPI number for Donald Dufford is 1013922400. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Donald Dufford located?

Donald Dufford practices at 3880 S Bascom Ave Suite 212, San Jose, CA 95124. The listed phone number is (408) 559-9088.

What is Donald Dufford's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Donald Dufford enrolled in Medicare?

No. Donald Dufford has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Donald Dufford was last updated on June 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.