Tina Donaldson, RN, NP
Individual provider Active NPI Basic Emergency Medical Technician · Winnetka, CA
NPI 1376934174 · NPPES record last updated Sep 30, 2015
Key facts
- NPI
- 1376934174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- 95001375 (CA)
- Practice address
- 20800 Sherman Way
Winnetka, CA 91306-2707 - Phone
- (818) 715-9031
- NPI assigned
- Feb 16, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Northeast Valley Health Corporation
El Proyecto del Barrio Inc
Practice addresses (Care Compare)
12756 Van Nuys Blvd
Pacoima, CA 91331-1626
Phone (818) 896-0531
14624 Sherman Way
FL 6
Van Nuys, CA 91405-2241
Phone (818) 988-6335
1600 San Fernando Rd
San Fernando, CA 91340-3115
Phone (818) 365-8086
20800 Sherman Way
Canoga Park, CA 91306-2707
Phone (818) 883-2273
7107 Remmet Ave
Canoga Park, CA 91303-2016
Phone (818) 340-3570
8902 Woodman Ave
Arleta, CA 91331-6401
Phone (818) 830-7080
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160420002271 | CA | Practitioner - Nurse Practitioner | 7416255633 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Proyecto del Barrio, Inc. | Current |
Accepting new patients | |
| Northeast Valley Health Corporation | Current |
Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| El Proyecto del Barrio, Inc. | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current |
Accepting new patients | |
| El Proyecto del Barrio, Inc. | Current |
Accepting new patients |
Locations
8902 Woodman Ave
Arleta, CA 91331
Phone (818) 830-7033
7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656
1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388
1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086
20800 Sherman Way
Winnetka, CA 91306
Phone (818) 883-2273
Interoperability endpoints
- tdonaldson@exer.direct.codonix.com
- tina.donaldson.p1@direct.nevhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 95001375 | CA | Yes |
Addresses
Primary practice location
20800 Sherman Way
Winnetka, CA 91306-2707
Mailing address
20800 Sherman Way
El Proyecto del Barrio
Winnetka, CA 91306-2707
Phone (818) 715-9031
Other providers in Winnetka, CA
- Elijah Jesusa Dia
- Mehrnoosh Dianati
- Discovery Radiology Physicians, P.C.
- Discovery Radiology, Inc
- Alyson Dodell
- Dr Lees Family Chiropractic & Acupuncture Apc
- Dr. Lee'S Family Chiropractic
- Silvia L Duarte-Ayala
- Jee Jean Tolentino Dykheng
- Edison Ishaya Dental
All providers in Winnetka, CA · Basic Emergency Medical Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.