Individual provider Active NPI

David L Ogden, M.D.

  • Internal Medicine Physician
  • San Anselmo, CA
National Provider Identifier
1003887324
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G83692 Issued in CA
Practice address
895 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916
Phone
(415) 925-3596
Fax
(415) 925-3597
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G83692 CA Primary

Addresses

Primary practice location

895 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916

Mailing address

PO Box 6671
Santa Rosa, CA 95406-0671
Phone (707) 544-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140722002753 CA Practitioner - Internal Medicine 7214923986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Chicago College of Medicine and Surgery, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1300 S Eliseo Dr
Suite 203
Greenbrae, CA 94904-2000

1300 S Eliseo Dr
Suite 203
Greenbrae, CA 94904-2023

895 Sir Francis Drake Blvd
San Anselmo, CA 94960-1916
Phone (415) 925-3617

PO Box
Suite 6671
Santa Rosa, CA 95406

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Personalized Medicine, Inc. Internal Medicine CurrentSince May 26, 2014 Accepting new patients
Marin Hospitalist Medical Group, Inc. Internal Medicine PastSince May 20, 2005 Accepting new patients

Locations

1300 S Eliseo Dr
Ste 203
Greenbrae, CA 94904
Phone (415) 461-3300

895 Sir Francis Drake Blvd
San Anselmo, CA 94960
Phone (415) 459-5206

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1003887324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6671",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954060671",
            "telephone_number": "707-544-7331",
            "fax_number": "707-948-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601916",
            "telephone_number": "415-925-3596",
            "fax_number": "415-925-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

Verify at the official NPI Registry.