DR. JEAN M MEFFERD M.D. NPI 1629062625

NPI Information

  • NPI: 1629062625
  • Provider Name: DR. JEAN M MEFFERD, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • Address: 9888 GENESEE AVE
    DEPARTMENT OF RADIATION ONCOLOGY
    LA JOLLA, CA
    ZIP 92037
  • Phone: (858) 626-6864

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NPI Details

DR. Jean M Mefferd, M.D. is a radiation oncology radiology in La Jolla, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Jean M Mefferd, M.D. NPI is 1629062625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9888 GENESEE AVE
DEPARTMENT OF RADIATION ONCOLOGY
LA JOLLA, CA
ZIP 92037-276
Phone: (858) 626-6864
Fax: (760) 599-9549

The enumeration date for this NPI number is 9/6/2005 and was last updated on 4/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyG50161CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A51588MEDICARE UPINCALIFORNIA
2WG50161BMEDICARE PINCALIFORNIA
300G501610MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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