Jack Jacob Druet, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G70999 Issued in CA

Practice address

25495 Medical Center Dr
Suite 102
Murrieta, CA 92562-5963

Phone

(951) 506-9536

Fax

(951) 693-4631

NPI assigned

Dec 1, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Binks a Graval Inc

  • Registered Nurse
  • Hemet, CA
  • NPI 1154681773
  Authorized official Same address or phone
• Hemet Uro-Endo Surgicenter Inc.

  • Ambulatory Surgical Clinic/Center
  • Hemet, CA
  • NPI 1083751143
  Authorized official Same address or phone
• Jack J Druet, MD, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Murrieta, CA
  • NPI 1114114881
  Authorized official Same address or phone
• Murrieta Center for Pain, Inc.

  • Pain Clinic/Center
  • Murrieta, CA
  • NPI 1154670560
  Authorized official Same address or phone
• Murrieta Center for Pain, Inc.

  • Ambulatory Surgical Clinic/Center
  • Murrieta, CA
  • NPI 1598372344
  Authorized official Same address or phone
• Painmedgroup, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Murrieta, CA
  • NPI 1225336639
  NPD (past) Authorized official
• Temecula Pain Management Center, Inc

  • Pain Clinic/Center
  • Murrieta, CA
  • NPI 1396896668
  NPD (past) Authorized official

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265416424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 893520",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925893520",
            "telephone_number": "951-699-0303",
            "fax_number": "951-699-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR",
            "address_2": "SUITE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625963",
            "telephone_number": "951-506-9536",
            "fax_number": "951-693-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUET",
        "first_name": "JACK",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G70999",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G70999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00168751",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP #",
            "identifier": "DC4371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Dress, M.D.
• Elijah Drew
• Rolf R Drinhaus, MD
• Droste Unlimited LLC (Energy Is Life)
• Ebony Droste
• Duality Mental Health Nursing Services
• Natasha Dubow
• Valerie Antoinette Dubuque, RDN
• Amira Duffy
• Jake Duffy

• Pain Medicine (Anesthesiology) Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.