Active NPI
Jeffrey Draisin, M.D.
- Family Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G51658
- Practice address
- 2300 California St
#103
San Francisco, CA 94115-2753 - Phone
- (415) 600-1123
- NPI assigned
- Jul 21, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G51658 | CA | Primary |
Addresses
Primary practice location
2300 California St
#103
San Francisco, CA 94115-2753
Mailing address
PO Box 254947
Sacramento, CA 95865-4947
Phone (916) 854-6964
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1210 Sonoma Ave
Santa Rosa, CA 95405-6648
Phone (707) 523-7185
2300 California St
San Francisco, CA 94115-2754
3838 California St
San Francisco, CA 94118-1506
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G51658 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
795 El Camino Real
#1112
Palo Alto, CA 94301
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
2300 California St
Ste 103
San Francisco, CA 94115
Phone (415) 600-3503
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2340 Clay St
#15
San Francisco, CA 94115
2300 California St
#2
San Francisco, CA 94115
Phone (415) 923-3802
2300 California St
Ste 202
San Francisco, CA 94115
Phone (415) 600-3503
3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940
4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360
Organizations & group practices 4
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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba California Pacific Medical Center - Mission Bernal Campus
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oakland, CA
- NPI 1326399296
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1356362883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254947",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958654947",
"telephone_number": "916-854-6964",
"fax_number": "916-854-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CALIFORNIA ST",
"address_2": "#103",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152753",
"telephone_number": "415-600-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAISIN",
"first_name": "JEFFREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G51658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.