JOHN W PUCKETT MD FACS INC
NPI 1841419454
Surgery - Vascular Surgery in Newport Beach, CA

Q: What is John W Puckett MD Facs Inc's NPI number?

The NPI number for John W Puckett MD Facs Inc is 1841419454. It was assigned to this organization in the NPPES registry on April 24, 2007.

Q: What is John W Puckett MD Facs Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since April 24, 2007

520 SUPERIOR AVE., #370, NEWPORT BEACH, CA 92663(949) 574-7176(979) 574-7180 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About John W Puckett Md Facs Inc NPPES

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

JOHN W PUCKETT MD FACS INC (NPI 1841419454) is a healthcare organization registered as a vascular surgery in Newport Beach, California and active in the NPI registry since April 2007. The organization lists John Willis Puckett, Vascular Surgeon, as its authorized official.

NPPES Registry Identity

NPI1841419454

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameJOHN W PUCKETT MD FACS INC

Location Address520 SUPERIOR AVE., #370Newport Beach, CA 92663-3623

Mailing Address520 Superior Ave, #370Newport Beach, CA 92663-3637 · (949) 574-7176 · Fax (979) 574-7180

Phone(949) 574-7176

Fax(979) 574-7180

Organization SubpartNo

Authorized OfficialJohn Willis PuckettVascular Surgeon · (949) 574-7176

Enumeration DateApril 24, 2007

Last NPPES UpdateFebruary 3, 2014

✔ NPI 1841419454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in CA · G38172A

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

520 SUPERIOR AVE., Newport Beach, CA 92663

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 John W Puckett MD Facs Inc's NPI number?

The NPI number for John W Puckett MD Facs Inc is 1841419454. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is John W Puckett MD Facs Inc located?

John W Puckett MD Facs Inc is located at 520 Superior Ave. #370, Newport Beach, CA 92663. The listed phone number is (949) 574-7176.

What is John W Puckett MD Facs Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for John W Puckett MD Facs Inc was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.