Donna Denise Conley
Individual provider Active NPI Driver · Acton, CA
NPI 1164044335 · NPPES record last updated May 11, 2020
Key facts
- NPI
- 1164044335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 30500 Arrastre Canyon Rd
Acton, CA 93510-2160 - Phone
- (661) 478-1063
- NPI assigned
- May 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antelope Valley Rehabilitation Centers Residential | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | CA | Yes |
Addresses
Primary practice location
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Mailing address
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Phone (661) 478-1063
Other providers in Acton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.