Individual provider Active NPI

Daniel R. Crogan, MD

  • Internal Medicine Physician
  • Oakhurst, CA
National Provider Identifier
1295813103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G74121 Issued in CA
Practice address
40595 Westlake Dr
Oakhurst, CA 93644-9024
Phone
(800) 262-6663
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 G74121 CA Primary

Addresses

Primary practice location

40595 Westlake Dr
Oakhurst, CA 93644-9024

Mailing address

1800 Harrison St FL 7
Oakland, CA 94612-3429
Phone (510) 625-6262

Other identifiers 1

IdentifierTypeStateIssuer
00G741210MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090609000596 CA Practitioner - Internal Medicine 8921158106 Reassigns benefits to 3 organizations
I20231004000171 TX Practitioner - Internal Medicine 8921158106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Colorado School of Medicine, Denver, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside-San Bernardino County Indian Health Inc 46 clinicians

Practice addresses (Care Compare)

47001 Pala Rd
Temecula, CA 92592-2925
Phone (951) 676-6810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74121CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 13, 2015 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Aug 28, 2023 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Jan 13, 2015 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Jul 4, 2023 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. CurrentSince Aug 28, 2023 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc Past Accepting new patients

Locations

1107 O St
Firebaugh, CA 93622
Phone (559) 659-9000

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

40595 Westlake Dr
Oakhurst, CA 93644
Phone (559) 448-5064

1800 Harrison St
Fl 7
Oakland, CA 94612

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 12

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295813103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HARRISON ST FL 7",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123429",
            "telephone_number": "510-625-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40595 WESTLAKE DR",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449024",
            "telephone_number": "800-262-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROGAN",
        "first_name": "DANIEL",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G74121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G741210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.