Ysa Druck, ATC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

NONE Issued in CA

Practice address

150 3Rd St
San Rafael, CA 94901-4126

Phone

(510) 367-7899

NPI assigned

Jan 31, 2024

Sex

Female

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

State licenses

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1063275238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 STEPHENS CT",
            "city": "CROCKETT",
            "state": "CA",
            "postal_code": "945251420",
            "telephone_number": "510-367-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 3RD ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014126",
            "telephone_number": "510-367-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Stephens Ct",
            "address_purpose": "LOCATION",
            "city": "Crockett",
            "state": "CA",
            "postal_code": "945251420",
            "country_code": "US",
            "telephone_number": "510-367-7899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUCK",
        "first_name": "YSA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew E Maris MD Professional Corporation
• Stephen Drew, PH.D.
• Briana Eve Drimmer, ED.S.
• Glenda Muriel Droguett
• Charmaine Drona, BCBA
• Mark Drucker, D.P.M.
• Jennifer Du, PHARM.D.
• Kelly Anne Duane
• Jonathan Michael Dubos
• Natalie Ducastelle, AMFT

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.