Individual provider Active NPI

Donna Marie Crowley, MD

  • Physical Medicine & Rehabilitation Physician
  • National City, CA
National Provider Identifier
1497857395
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G62894 Issued in CA
Practice address
655 Euclid Ave
Ste 209
National City, CA 91950
Phone
(619) 267-9450
Fax
(619) 267-9458
NPI assigned
Sep 1, 2006
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G62894 CA Primary

Addresses

Primary practice location

655 Euclid Ave
Ste 209
National City, CA 91950

Mailing address

655 Euclid Ave
Ste 209
National City, CA 91950-2957
Phone (619) 267-9450

Other identifiers 1

IdentifierTypeStateIssuer
00G62894MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041202001073 CA Practitioner - Physical Medicine and Rehabilitation 8325004294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
R Franklin University of Med & Sci/Chicago Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna M Crowley MD and Dwight Lemon MD IncGroup PAC ID 2062507734, 2 clinicians

Practice addresses (Care Compare)

655 Euclid Ave
Suite 209
National City, CA 91950-2970
Phone (619) 267-9450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62894CAMDPhysical Medicine & Rehabilitation Physician
62894CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna M Crowley MD & Dwight Lemon MD Inc Physical Medicine & Rehabilitation CurrentSince May 14, 2007 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 6, 2010 Accepting new patients
Valerie C. Altavas MD a Medical Corporation CurrentSince Mar 6, 2018 Accepting new patients
Vibra Hospital of Denver LLC Past Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

655 Euclid Ave
Ste 209
National City, CA 91950
Phone (619) 267-9450

655 Euclid Ave
Ste 301
National City, CA 91950
Phone (619) 267-3020

7850 Vista Hill Ave
San Diego, CA 92123
Phone (858) 836-8434

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1497857395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE",
            "address_2": "STE 209",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502957",
            "telephone_number": "619-267-9450",
            "fax_number": "619-267-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE",
            "address_2": "STE 209",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-267-9450",
            "fax_number": "619-267-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G62894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G62894",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.