Individual provider Active NPI

Jon Lauren Dresser, MD

  • Family Medicine Physician
  • Fair Oaks, CA
National Provider Identifier
1720097058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G27209 Issued in CA
Practice address
5525 Dewey Dr
Suite 204
Fair Oaks, CA 95628-3129
Phone
(916) 967-7285
Fax
(916) 967-7289
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 G27209 CA Primary

Addresses

Primary practice location

5525 Dewey Dr
Suite 204
Fair Oaks, CA 95628-3129

Mailing address

5525 Dewey Dr
Suite 204
Fair Oaks, CA 95628-3129
Phone (916) 967-7285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G27209CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720097058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 DEWEY DR",
            "address_2": "SUITE 204",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283129",
            "telephone_number": "916-967-7285",
            "fax_number": "916-967-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 DEWEY DR",
            "address_2": "SUITE 204",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283129",
            "telephone_number": "916-967-7285",
            "fax_number": "916-967-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESSER",
        "first_name": "JON",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G27209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.