Joseph Raymond Droke, L.AC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

19577 Issued in CA

Practice address

30628 Calle Chueca
San Juan Capistrano, CA 92675-1602

Phone

(661) 373-0666

NPI assigned

Mar 29, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1003510397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30628 CALLE CHUECA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751602",
            "telephone_number": "661-373-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30628 CALLE CHUECA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751602",
            "telephone_number": "661-373-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROKE",
        "first_name": "JOSEPH",
        "middle_name": "RAYMOND",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CA",
            "license": "19577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Internal Medicine) Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Sports Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.