Individual provider Active NPI

Donna Ni, D.O.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1265630669
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9552 Issued in CA
Practice address
16776 Bernardo Center Dr Ste 102
San Diego, CA 92128-2558
Phone
(858) 527-9888
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9552 CA Primary

Addresses

Primary practice location

16776 Bernardo Center Dr Ste 102
San Diego, CA 92128-2558

Mailing address

16776 Bernardo Center Dr Ste 102
San Diego, CA 92128-2558
Phone (858) 527-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9552CAMDFamily Medicine Physician
9552CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Ni Inc Family Medicine CurrentSince Oct 10, 2021 Accepting new patients

Locations

16776 Bernardo Center Dr
Ste 102
San Diego, CA 92128
Phone (858) 481-8240

Interoperability endpoints

  • Direct secure messaging: donna.ni.1@24068.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1265630669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282558",
            "telephone_number": "858-527-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282558",
            "telephone_number": "858-527-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.