Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Willis Puckett, MD

Individual provider Vascular Surgery Physician · NPI 1306938022

Dr. John Willis Puckett, MD is a Vascular Surgery Physician in Newport Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 Superior Ave #370
Newport Beach, CA 92663-3637
Phone: (949) 574-7176
Fax: (949) 574-7180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence G38172A (CA)

Record details

NPI number1306938022
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESJanuary 27, 2014

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