Individual provider Active NPI

Jacqueline Erin Donovan, MD

  • Anesthesiology Physician
  • Orange, CA
National Provider Identifier
1497068829
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
148425 Issued in CA
Practice address
333 The City Drive
Suite 2150
Orange, CA 92868
Phone
(714) 456-5501
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 279116 NY
Anesthesiology Physician 207L00000X 148425 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

333 The City Drive
Suite 2150
Orange, CA 92868

Mailing address

PO Box 9774
Fountain Valley, CA 92728-9774
Phone (407) 921-5110

Other practice location 1

1 Gustave L Levy Pl
Anesthesiology, Box 1010
New York, NY 10029-6504
Phone (212) 241-6426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826001787 NY Practitioner - Anesthesiology 2860708518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schenectady Anesthesia Associates, P.C.Group PAC ID 5294628087, 43 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Albany Medical College Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients
Albany Medical College Current Accepting new patients
Schenectady Anesthesia Associates, P.C. Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Albany Medical College CurrentSince Aug 1, 2018 Accepting new patients

Locations

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

16 Maxwell Dr
Clifton Park, NY 12065
Phone (518) 557-1800

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1201 Nott St
Ste 106
Schenectady, NY 12308
Phone (518) 374-3123

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1497068829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9774",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927289774",
            "telephone_number": "407-921-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 THE CITY DRIVE",
            "address_2": "SUITE 2150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_2": "Anesthesiology, Box 1010",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-6426",
            "fax_number": "212-876-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JACQUELINE",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "279116",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "148425",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.