Individual provider Active NPI

William Roy Dugdale, M.D

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1992784235
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G11043 Issued in CA
Practice address
809 Wimbledon CT
Sacramento, CA 95864-6137
Phone
(916) 971-1253
Fax
(916) 486-0841
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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 G11043 CA Primary

Addresses

Primary practice location

809 Wimbledon CT
Sacramento, CA 95864-6137

Mailing address

809 Wimbledon CT
Sacramento, CA 95864-6137
Phone (916) 971-1253

Other identifiers 2

IdentifierTypeStateIssuer
011721675OtherCARAILROAD MEDICARE
00G110430MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000813 CA Practitioner - General Practice 3870648751 Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11043CAMDMental Health Counselor
G11043CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Nadir Alocozy Inc Past Accepting new patients
Sa Haggerty, Inc., a Medical Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1992784235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WIMBLEDON CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646137",
            "telephone_number": "916-971-1253",
            "fax_number": "916-486-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WIMBLEDON CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646137",
            "telephone_number": "916-971-1253",
            "fax_number": "916-486-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGDALE",
        "first_name": "WILLIAM",
        "middle_name": "ROY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G11043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "011721675",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G110430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.