Active NPI
Dragana Vagic, M.D.
- Internal Medicine Physician
- Chico, CA
National Provider Identifier
1619286606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A110441
- Practice address
- 680 Cohasset Rd
Chico, CA 95926-2213 - Phone
- (530) 342-4395
- Fax
- (530) 894-2325
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- 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 | A110441 | CA | Primary |
Addresses
Primary practice location
680 Cohasset Rd
Chico, CA 95926-2213
Mailing address
PO Box a D
Yuba City, CA 95992-1396
Phone (530) 751-3769
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
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Schrader Blvd
Los Angeles, CA 90028-6213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles LGBT Center | Current | Accepting new patients | |
| Los Angeles LGBT Center | Current | Accepting new patients |
Locations
1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400
1625 Schrader Blvd
Los Angeles, CA 90028
Phone (323) 993-7400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- draganavagic@lalgbtc.allscriptsdirect.net
Organizations & group practices 2
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)
- Los Angeles, CA
- NPI 1548298532
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1225599178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1619286606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX A D",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959921396",
"telephone_number": "530-751-3769",
"fax_number": "530-751-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 COHASSET RD",
"city": "CHICO",
"state": "CA",
"postal_code": "959262213",
"telephone_number": "530-342-4395",
"fax_number": "530-894-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAGIC",
"first_name": "DRAGANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A110441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.