Donor Network West

Primary specialty

Organ Procurement OrganizationTaxonomy code 335U00000X

Legal business name

DONOR NETWORK WEST

Practice address

12667 Alcosta Blvd.
Suite 500
San Ramon, CA 94583

Phone

(925) 480-3100

NPI assigned

Sep 7, 2017

Last updated

Sep 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Siljestrom

Title

Chief Executive Oficer

Phone

(925) 480-3180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1508384843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12667 ALOCSTA BOULEVARD",
            "address_2": "SUITE 500",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12667 ALCOSTA BLVD.",
            "address_2": "SUITE 500",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-480-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONOR NETWORK WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "SILJESTROM",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFICER",
        "authorized_official_telephone_number": "925-480-3180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel E Dominguez, D.C.
• Tina L. R. Dominguez, PA-C, MMS
• Robert Marc Donatiello, MD
• Maria Dondero, PHARM.D.
• Tara Kay Donham
• Katelyn Marie Donovan Lopata
• Kim Donovan
• Sharon Donovan, MFCT
• Poorani Doonan
• Kristina M Douglas

• Organ Procurement Organization in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Organ Procurement Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.