Active NPI
Daniel R. Crogan, MD
- Internal Medicine Physician
- Oakhurst, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G74121
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G741210 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| G74121 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Internal Medicine | Current | 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 | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
TX
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
CA, Internal Medicine
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
CA
-
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
-
- Federally Qualified Health Center (FQHC)
- Thermal, CA
- NPI 1043363641
-
- Federally Qualified Health Center (FQHC)
- Banning, CA
- NPI 1437202124
-
- Federally Qualified Health Center (FQHC)
- Temecula, CA
- NPI 1316090798
-
- Federally Qualified Health Center (FQHC)
- Anza, CA
- NPI 1679204325
-
- Federally Qualified Health Center (FQHC)
- San Jacinto, CA
- NPI 1639222144
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
Internal Medicine
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.