MS. LAURA RUTH DUFFY PA-C
NPI 1720288087
Physician Assistant - Surgical in San Diego, CA

Active since July 24, 2007PECOS Enrolled
34800 BOB WILSON DR STE 201, SAN DIEGO, CA 92134(619) 532-6950(619) 532-5501 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Feb 25, 2021, Feb 23, 2017 (3 updates tracked since 2017).

About Ms. Laura Ruth Duffy Pa-c NPPES

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

MS. LAURA RUTH DUFFY PA-C (NPI 1720288087) is an individual surgical provider in San Diego, California, licensed in California (CA21210) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1720288087
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. LAURA RUTH DUFFYCredential: PA-C
Location Address34800 BOB WILSON DR STE 201San Diego, CA 92134-2757
Mailing Address1643 6th Ave, #204San Diego, CA 92101-2757 · (442) 222-0298
Fax(619) 532-5501
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 24, 2007
Last NPPES UpdateJune 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1720288087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · CA21210
Also ListedPhysician AssistantTaxonomy 363A00000X · License CA21210 (CA)
34800 BOB WILSON DR STE 201, San Diego, CA 92134

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Laura Ruth Duffy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446210207
PECOS Enrollment IDI20260506004090
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
34800 BOB WILSON DR STE 201
SAN DIEGO, CA 92134

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 Laura Duffy's NPI number?

The NPI number for Laura Duffy is 1720288087. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Laura Duffy located?

Laura Duffy practices at 34800 Bob Wilson Dr Ste 201, San Diego, CA 92134. The listed phone number is (619) 532-6950.

What is Laura Duffy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Laura Duffy enrolled in Medicare?

Yes. Laura Duffy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Duffy was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.