Active NPI
William Roy Dugdale, M.D
- Family Medicine Physician
- Sacramento, CA
National Provider Identifier
1992784235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G11043
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011721675 | Other | CA | RAILROAD MEDICARE |
| 00G110430 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11043 | CA | MD | Mental Health Counselor |
| G11043 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1467772426
-
- General Practice Physician
- Sacramento, CA
- NPI 1992988513
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.