MARK DRUCKER D.P.M. NPI 1720013550

NPI Information

  • NPI: 1720013550
  • Provider Name: MARK DRUCKER, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 750 LAS GALLINAS AVE
    SUITE 115
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 472-5575

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NPI Details

Mark Drucker, D.P.M. is a foot and ankle surgery podiatrist in San Rafael, CA. Mark Drucker, D.P.M. NPI is 1720013550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 LAS GALLINAS AVE
SUITE 115
SAN RAFAEL, CA
ZIP 94903-438
Phone: (415) 472-5575
Fax: (415) 472-0502

The enumeration date for this NPI number is 7/11/2006 and was last updated on 1/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE1561CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
194-2682725OTHERCALIFORNIATAX ID #
2T11000MEDICARE UPINCALIFORNIA
3000E15610MEDICARE PINCALIFORNIA
4E1561OTHERCALIFORNIALICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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