MR. DOUGLAS A DRAKE (PA) – Physician Assistant, NPI 1356499255

MR. DOUGLAS A DRAKE (PA) is a healthcare provider. based in San diego, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA12158 (CA). The NPI Number for MR. DOUGLAS A DRAKE (PA) is 1356499255

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MR. DOUGLAS A DRAKE (PA)
NPI
1356499255
Phone
(619) 528-5000
Address
4647 ZION AVE
Enumeration Date
8 January 2007
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516946367
Graduation Year
1980 (46 years ago)
PAC ID
3274664800
Group Practice PAC ID
5698838761
Professional Enrollment ID
I20100626000033
Address ID
CA925904801TE27412WXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

10,686 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MR. DOUGLAS A DRAKE (PA)

  • Kaiser Permanente Zion Medical Center, 4647, Zion Avenue, Grantville, Allied Gardens, San Diego, San Diego County, California, 92120, United States

    SAN DIEGO, CA 921202507

    Phone: (619) 528-5000

    Type: Mailing

  • 27412 ENTERPRISE CIR W STE 102

    TEMECULA, CA 925904801

    Phone: (951) 694-6367

    Fax: (951) 694-1428

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $498.

Total Amount is formed as General ($498) + Research ($0) + Ownership ($0) = $498.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($244).

Total Amount

$498

General + Research + Ownership

Payments

25

Total payment records

General Amount

$498

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100626000033IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes450139$0
J1885Injection, ketorolac tromethamine, per 15 mg19027$0
99215Established patient office or other outpatient visit, 40-54 minutes2517$0
J1040Injection, methylprednisolone acetate, 80 mg1311$0
View full utilization report →

Insurance plans in this area (ZIP 92120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698838761View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementCA
-CA
Pain ManagementCA

Reviews

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Frequently asked questions

Where can patients find MR. DOUGLAS A DRAKE (PA)'s NPI?
You can confirm MR. DOUGLAS A DRAKE (PA) with NPI 1356499255; it appears in the national provider directory.
Is MR. DOUGLAS A DRAKE (PA) currently active in the NPI registry?
CMS-published data lists MR. DOUGLAS A DRAKE (PA) as an active registrant.
What kind of provider is MR. DOUGLAS A DRAKE (PA)?
The page reflects Physician Assistant for MR. DOUGLAS A DRAKE (PA). Clinical services aligned with this taxonomy classification.
What location shows for MR. DOUGLAS A DRAKE (PA)?
We surface San Diego, California for MR. DOUGLAS A DRAKE (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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