Provider Demographics
NPI:1396794509
Name:VOGEL, JOANNE R (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:R
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11030 BOLLINGER CANYON RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4874
Mailing Address - Country:US
Mailing Address - Phone:925-736-0110
Mailing Address - Fax:925-736-0120
Practice Address - Street 1:11030 BOLLINGER CANYON RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94582-4874
Practice Address - Country:US
Practice Address - Phone:925-736-0110
Practice Address - Fax:925-736-0120
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2022-12-27
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Provider Licenses
StateLicense IDTaxonomies
CAA64880207V00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI04484Medicare UPIN