Jay Thomas Draeger, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G53023 Issued in CA

Practice address

1600 Creekside Dr Ste 1300
Folsom, CA 95630-3445

Phone

(916) 983-7860

Fax

(916) 983-8588

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isabel Orellana, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Sacramento, CA
  • NPI 1770657876
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anderson Orthopaedic Surgery, a Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • Folsom, CA
  • NPI 1437767175
  NPD
• Family Medicine and Ambulatory Care

  dba Family Medicine and Ambulatory Care Center, Inc.

  • Family Medicine Physician
  • Fair Oaks, CA
  • NPI 1023638814
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619078904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4345",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957620017",
            "telephone_number": "530-677-1112",
            "fax_number": "530-677-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR STE 1300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303445",
            "telephone_number": "916-983-7860",
            "fax_number": "916-983-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEGER",
        "first_name": "JAY",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G53023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dorrell, LCSW
• Michele Elaine Downs, P.T.
• Jason Doyle
• Dr. Kayla Trejo, Psychology Inc
• Dr. Palmer N. Lee, OD Inc (EYEcenter Optometric)
• Melissa Elizabeth Drivon
• Todd Jason Drybread, D.C.
• Angela Miaoxin Du, DDS
• Gaurett Bettencourt Duckhorn, MS PT
• Christopher Ducombs

• Internal Medicine Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Internal Medicine Physician in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.