JACK JACOB DRUET (NPI# 1265416424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265416424 |
| Entity Type | Individual |
| Full Name | JACK JACOB DRUET |
| Credential | MD |
| Practice Address |
25495 Medical Center Dr Suite 102 Murrieta CA 92562-5963 |
| Mailing Address |
Po Box 893520 Temecula CA 92589-3520 |
| Practice Telephone | 9515069536 |
| Practice Fax Number | 9516934631 |
| Mailing Telephone | 9516990303 |
| Mailing Fax Number | 9516990603 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | G70999 | CA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G70999 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BD4190889 | 01 |
| CA | RAILROAD MEDICARE GRP # | DC4371 | 01 |
| CA | RAILROAD MEDICARE | P00168751 | 01 |
| Street Address |
25495 MEDICAL CENTER DR SUITE 102 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366857377 | Sr Nakka Md | Clinic/Center | 25495 Medical Center Dr, Suite 307, Murrieta, CA 92562-4902 | 2014-06-27 |
| 1154746964 | Hizon Medical Corporation | Family Medicine | 25495 Medical Center Dr, Suite 305, Murrieta, CA 92562-4902 | 2014-03-03 |
| 1912333907 | Hizon Medical Corporation | Non-Pharmacy Dispensing Site | 25495 Medical Center Dr, Suite 305, Murrieta, CA 92562-4902 | 2013-09-23 |
| 1154670560 | Murrieta Center for Pain, Inc. | Clinic/Center | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-4902 | 2012-08-30 |
| 1326395021 | Platinum Women's Health and Wellness | Obstetrics & Gynecology | 25495 Medical Center Dr, Suite 300, Murrieta, CA 92562-4902 | 2012-08-13 |
| 1679836043 | Anesmd Consultants PC | Anesthesiology | 25495 Medical Center Dr, Ste 101, Murrieta, CA 92562-4902 | 2012-06-20 |
| 1821386020 | Cyrus K. Dadachanji | Anesthesiology | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-4902 | 2011-07-21 |
| 1225336639 | Painmedgroup, Inc | Anesthesiology | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-4902 | 2011-03-09 |
| 1508026246 | Thomas G Williams, Md Inc | Anesthesiology | 25495 Medical Center Dr, Suite 101, Murrieta, CA 92562-5963 | 2008-06-16 |
| 1114114881 | Jack J Druet, Md, Inc. | Anesthesiology | 25495 Medical Center Dr, Suite 102, Murrieta, CA 92562-5963 | 2007-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1003826488 | Lawrence Chun-lui Wan | Anesthesiology | 39218 Half Moon Cir, Murrieta, CA 92563-2822 | 2006-08-09 |
| 1770559981 | United Medical Doctors | Anesthesiology | 28078 Baxter Rd Ste 530, Murrieta, CA 92563-1405 | 2006-02-27 |
| 1245846146 | Loma Linda Anesthesia Services A Medical Corporation | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-09-17 |
| 1366835720 | David Creamer M D Inc | Anesthesiology | 41670 Ivy St, Suite B, Murrieta, CA 92562-9432 | 2015-03-10 |
| 1184767360 | Andrew Thio, M.d., Inc. | Anesthesiology | 41670 Ivy St, Suite B, Murrieta, CA 92562-9432 | 2007-02-15 |
| 1033282173 | Temecula Valley Day Surgery & Pain Therapy Center, Inc. | Anesthesiology | 25495 Medical Center Dr, Suite 101, Murrieta, CA 92562-4902 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| 1447779715 | Thrive Clinic, LLC | Anesthesiology | 421 March Ave Ste B, Healdsburg, CA 95448-3367 | 2017-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.