Active NPI
Jennifer Triano Donovan, FNP
- Nurse Practitioner
- Greenbrae, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95019580
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220711001299 | CA | Practitioner - Nurse Practitioner | 7012397862 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019580 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc. | Current | Accepting new patients | |
| One Medical Group, Inc | Current | 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
- 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.
-
dba One Medical Group
- Family Medicine Physician
- San Francisco, CA
- NPI 1467781641
-
- Family Medicine Physician
- Tigard, OR
- NPI 1891521134
-
dba Occidental Area Health Center
- Federally Qualified Health Center (FQHC)
- Occidental, CA
- NPI 1598768962
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.