Active NPI
Donald B Nevins, M.D.
- Psychiatry Physician
- Corte Madera, CA
National Provider Identifier
1275880882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G-15925
- Practice address
- 21 Tamal Vista Blvd Ste 212
Corte Madera, CA 94925-1127 - Phone
- (415) 927-1497
- Fax
- (415) 381-9590
- NPI assigned
- Aug 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G-15925 | CA | Primary |
Addresses
Primary practice location
21 Tamal Vista Blvd Ste 212
Corte Madera, CA 94925-1127
Mailing address
21 Tamal Vista Blvd Ste 212
Corte Madera, CA 94925-1127
Phone (415) 927-1497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G-15925 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1275880882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 TAMAL VISTA BLVD STE 212",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251127",
"telephone_number": "415-927-1497",
"fax_number": "415-381-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 TAMAL VISTA BLVD STE 212",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251127",
"telephone_number": "415-927-1497",
"fax_number": "415-381-9590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVINS",
"first_name": "DONALD",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G-15925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.