Individual provider Active NPI

Jeffrey Draisin, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1356362883
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51658 Issued in CA
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

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000022 CA Practitioner - Family Practice 7315075116 Reassigns benefits to 1 organization

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
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

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

LicenseStateTypeSpecialty
G51658CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.