Individual provider Active NPI

Jennifer Triano Donovan, FNP

  • Nurse Practitioner
  • Greenbrae, CA
National Provider Identifier
1205587086
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95019580 Issued in CA
Practice address
350 Bon Air Ctr Ste 200
Greenbrae, CA 94904-3000
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jan 13, 2022
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019580 CA
Nurse Practitioner 363L00000X 95019580 CA Primary

Addresses

Primary practice location

350 Bon Air Ctr Ste 200
Greenbrae, CA 94904-3000

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

5 Bon Air Rd Ste 107
Larkspur, CA 94939-1137
Phone (415) 924-1330

Other practice location 2

2410 California St
San Francisco, CA 94115-2681
Phone (415) 529-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711001299 CA Practitioner - Nurse Practitioner 7012397862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95019580CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Jun 20, 2022 Accepting new patients
One Medical Group, Inc CurrentSince Jun 20, 2022 Accepting new patients
West County Health Centers, Inc. Past Accepting new patients

Locations

1801 Shattuck Ave
Ste A
Berkeley, CA 94709
Phone (510) 225-1025

329 Primrose Rd
Burlingame, CA 94010
Phone (650) 288-1200

350 Bon Air Ctr
Ste 200
Greenbrae, CA 94904
Phone (415) 578-3095

1955 Broadway
Ste A
Oakland, CA 94612

590 Forest Ave
Palo Alto, CA 94301
Phone (650) 288-4080

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 523-6317

2410 California St
San Francisco, CA 94115
Phone (415) 529-4050

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

1299 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (408) 266-3100

Interoperability endpoints

  • Direct secure messaging: jennifer.donovan.1@14649.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1205587086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BON AIR CTR STE 200",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949043000",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Bon Air Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391137",
            "country_code": "US",
            "telephone_number": "415-924-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 California St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941152681",
            "country_code": "US",
            "telephone_number": "415-529-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JENNIFER",
        "middle_name": "TRIANO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019580",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.