Individual provider Active NPI

Laurie F Draughon, M.D.

  • Internal Medicine Physician
  • San Ramon, CA
National Provider Identifier
1265490668
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G058044 Issued in CA
Practice address
231 Market PL Ste 115
San Ramon, CA 94583-4743
Phone
(925) 324-8227
Fax
(925) 648-1746
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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 G058044 CA Primary

Addresses

Primary practice location

231 Market PL Ste 115
San Ramon, CA 94583-4743

Mailing address

231 Market PL Ste 115
San Ramon, CA 94583-4743
Phone (925) 324-8227

Other identifiers 1

IdentifierTypeStateIssuer
00G580440MedicaidCA

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
I20050202001122 CA Practitioner - Internal Medicine 8325099740 Reassigns benefits to 1 organization
Practice locations: Danville, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G058044CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Aug 20, 2019 Accepting new patients
Avant Inpatient Services Medical Group, Inc Internal Medicine Past Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine Past Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine PastSince Oct 1, 2002 Accepting new patients

Locations

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1265490668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MARKET PL STE 115",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834743",
            "telephone_number": "925-324-8227",
            "fax_number": "925-648-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MARKET PL STE 115",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834743",
            "telephone_number": "925-324-8227",
            "fax_number": "925-648-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAUGHON",
        "first_name": "LAURIE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G058044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G580440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.