Stephen Gordon Drogin, M.D.
Individual provider Active NPI Internal Medicine Physician · Carmichael, Ca, CA
NPI 1891710315 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891710315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G21168 (CA)
- Practice address
- 10535 Hospital Way
NCHS Vamc Sacramento- Internal Medicine
Carmichael, Ca, CA 95655 - Phone
- (916) 843-9196
- Fax
- (916) 366-5475
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G21168 | CA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G21168 | CA | Yes |
Addresses
Primary practice location
10535 Hospital Way
NCHS Vamc Sacramento- Internal Medicine
Carmichael, Ca, CA 95655
Mailing address
6734 Long Ave
Placerville, CA 95667-6720
Phone (530) 344-8180
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.