Dragan Bakovic, BSN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

578321 Issued in CA

Practice address

1329 Ridgerun Dr
Roseville, CA 95747-7652

Phone

(425) 299-5128

NPI assigned

Nov 18, 2009

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

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1104154855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 RIDGERUN DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 RIDGERUN DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477652",
            "telephone_number": "425-299-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOVIC",
        "first_name": "DRAGAN",
        "name_prefix": "Mr.",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "578321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Simon Baker, O.D.
• Shelbie Kiersten Baker
• Catherine Bakey, M.D.
• Paul A Bakke, PA-C
• John T Bakos, M.D., PHD
• Jagdeep Singh Bal, M.D.
• Minder Kaur Bal, D.O.
• Lauren Balajadia
• Joni-Marie Balano
• Sreepriya Balasubramanian, MD

• Administrator Registered Nurse in Roseville, CA
• Providers in Roseville, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.