MARK DRUCKER


Address: 750 Las Gallinas Ave, Suite 115, San Rafael, CA 94903-3438
Phone: 4154725575

MARK DRUCKER (NPI# 1720013550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720013550
Entity Type Individual
Full Name MARK DRUCKER
Credential D.P.M.
Practice Address 750 Las Gallinas Ave
Suite 115
San Rafael
CA 94903-3438
Practice Telephone 4154725575
Practice Fax Number 4154720502
Mailing Telephone 4154725575
Mailing Fax Number 4154720502
Enumeration Date 2006-07-11
Last Update Date 2011-01-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
E1561 CA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA TAX ID # 94-2682725 01
CA LICENSE # E1561 01

Other Providers MARK DRUCKER

NPI Name Taxonomy Address Enumeration
1053440024 Mark Drucker General Practice 4403 Manchester Ave, Ste. 107, Encinitas, CA 92024-4939 2007-03-05
1003880642 Mark Drucker Emergency Medicine 4725 N Federal Hwy, Ft Lauderdale, FL 33308-4603 2006-02-13
1699753046 Mark Drucker Ophthalmology 1855 San Miguel Dr, #28, Walnut Creek, CA 94596-5214 2006-01-05

Office Location

Street Address 750 LAS GALLINAS AVE
SUITE 115
City SAN RAFAEL
State CA
Zip Code 94903-3438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063416311 Michael Gerald Dab Dentist 750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903-3431 2005-06-01
1538784251 Ivy Deap Hearing Instrument Specialist 750 Las Gallinas Ave, San Rafael, CA 94903-3438 2020-06-09
1447556402 Theresa Kamler Massage Therapist 750 Las Gallinas Ave, Suite 202, San Rafael, CA 94903-3438 2011-02-08
1952607657 Mark Drucker, D.p.m., A Professional Corporation Podiatrist 750 Las Gallinas Ave, Suite 115, San Rafael, CA 94903-3438 2011-01-28
1548492549 Alan Brenner Kimelman Md Inc Physical Medicine & Rehabilitation 750 Las Gallinas Ave, San Rafael, CA 94903-3438 2009-08-10
1124252416 Sutter West Bay Medical Foundation Family Medicine 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 2009-05-14
1912146382 Laura Wahpepah Nurse Practitioner 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 2009-02-09
1780857318 Joseph H Greenberg Ltd A Medical Corp Specialist 750 Las Gallinas Ave, Suite 205, San Rafael, CA 94903-3438 2008-04-03
1881874709 Bonnie Lynn Nickel Ophthalmology 750 Las Gallinas Ave, Suite 114, San Rafael, CA 94903-3438 2007-11-08
1821213109 Melissa Emily Rinck Dentist 750 Las Gallinas Ave, Suite 215, San Rafael, CA 94903-3438 2007-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851950695 Alexander Reyzelman, Dpm, Inc. Podiatrist 750 Las Gallinas Ave Ste 115, San Rafael, CA 94903-3431 2019-06-06
1952607657 Mark Drucker, D.p.m., A Professional Corporation Podiatrist 750 Las Gallinas Ave, Suite 115, San Rafael, CA 94903-3438 2011-01-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528726 Millennium Foot and Ankle Institute PC Podiatrist 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 2020-11-02
1861008054 Ronald J Belczyk, Dpm Inc. Podiatrist 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 2020-09-22
1174139356 Ronald J Belczyk, Dpm Inc. Podiatrist 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 2020-09-22
1093327231 Upperline Healthcare California PC Podiatrist 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 2020-08-19
1841815545 Kenny Au Quach Podiatrist 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 2020-06-09
1417579129 Central California Leg, Foot, and Ankle Center, Inc. Podiatrist 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 2020-05-15
1487282109 Laura Y Lee, Dpm Inc Podiatrist 5525 Forestwood Dr, Sacramento, CA 95842-2128 2020-03-29
1780211458 Dupontdpm Inc. Podiatrist 651 1st St W Ste C, Sonoma, CA 95476-7046 2020-03-24
1659903722 Bay Area Foot Care, Inc Podiatrist 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 2020-02-06
1780215210 Albert Elhiani Dpm Inc Podiatrist 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 2020-02-03
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Competitor

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City SAN RAFAEL
Zip Code 94903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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