MICHAEL L PUCKETT MD
NPI 1043284235
Radiology - Diagnostic Radiology in San Diego, CA

Active since February 14, 2006
8745 AERO DR, SUITE 200, SAN DIEGO, CA 92123(858) 565-0950(858) 244-1100 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael L Puckett Md NPPES

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

MICHAEL L PUCKETT MD (NPI 1043284235) is an individual diagnostic radiology provider in San Diego, California, licensed in California (G64723) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1043284235
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL L PUCKETTCredential: MD
Location Address8745 AERO DR, SUITE 200San Diego, CA 92123-1774
Mailing AddressPo Box 23540San Diego, CA 92193-3540 · (858) 565-0950 · Fax (858) 244-1100
Fax(858) 244-1100
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateOctober 10, 2007
NPI 1043284235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G64723
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License G64723 (CA)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License G64723 (CA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License G64723 (CA)
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License G64723 (CA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License G64723 (CA)
8745 AERO DR, San Diego, CA 92123

Other Identifiers 19

MedicaidGR0083811CA
Medicare PINTD009BCA
Medicare UPINF89569
MedicaidGR0083812CA
MedicaidGR0083815CA
MedicaidGR0083813CA
Medicare PINW529ACA
MedicaidGR0083817CA
MedicaidGR0083816CA
Medicare PINW529CA
Medicare PINHW529BCA
Medicare PINHW529CA
Medicare PINTP110CA
MedicaidGR0083814CA
MedicaidZZZ75341ZCA
MedicaidGR0083810CA
Medicare PINTD009ACA
Medicare PINTD009CA
Medicare PINHW529ACA

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.

Marriage & Family Therapist
8745 AERO DR
SAN DIEGO, CA 92123
Physician Assistant (Medical)
8745 AERO DR, SUITE 200
SAN DIEGO, CA 92123
Radiology (Diagnostic Radiology)
8745 AERO DR, STE 200
SAN DIEGO, CA 92123
Radiology (Diagnostic Radiology)
8745 AERO DR, STE 200
SAN DIEGO, CA 92123
Radiology (Diagnostic Radiology)
8745 AERO DR, STE 200
SAN DIEGO, CA 92123
Radiology (Diagnostic Radiology)
8745 AERO DR, SUITE 200
SAN DIEGO, CA 92123
Case Manager/Care Coordinator
8745 AERO DR, SUITE 107
SAN DIEGO, CA 92123
Radiology (Diagnostic Radiology)
8745 AERO DR, STE 200
SAN DIEGO, CA 92123

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 Michael Puckett's NPI number?

The NPI number for Michael Puckett is 1043284235. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Michael Puckett located?

Michael Puckett practices at 8745 Aero Dr Suite 200, San Diego, CA 92123. The listed phone number is (858) 565-0950.

What is Michael Puckett's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Michael Puckett was last updated on October 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.