Michael R. Drucker, M.D. a Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G29256 Issued in CA

Legal business name

MICHAEL R. DRUCKER, M.D. A MEDICAL CORPORATION

Practice address

2876 Sycamore Dr Ste 304
Simi Valley, CA 93065-1550

Phone

(805) 526-9242

Fax

(805) 526-3768

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Michael Richard Drucker, M.D.

Title

Owner/Physician

Phone

(805) 523-9242

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1750644019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 SYCAMORE DR STE 304",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651550",
            "telephone_number": "805-526-9242",
            "fax_number": "805-526-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2876 SYCAMORE DR STE 304",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651550",
            "telephone_number": "805-526-9242",
            "fax_number": "805-526-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. DRUCKER, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "DRUCKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "805-523-9242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G29256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rian Mew
• Julie R Meyer, M.S.
• Kristie Meyer, LMFT
• Jennifer Ann Miadich-Freilich, SLP-CCC
• Michael Benjmain, M.D., Inc. (Regatta Health)
• Michael Sycamore Dental Corporation (Sycamore Dentistry)
• Brooks Carlton Michaels, MD
• Midvalley RX Pharmacy
• Ilan Migdali, L.AC
• Lesley Migdali, L.AC

• Surgery Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.