Individual provider Active NPI

John Robert Donaldson III, D.O.

  • Psychiatry Physician
  • Salinas, CA
National Provider Identifier
1578517538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A5994 Issued in CA
Practice address
160 Harden Pkwy
Suite 102
Salinas, CA 93906-5287
Phone
(831) 449-1600
Fax
(831) 449-1661
NPI assigned
May 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A5994 CA Primary

Addresses

Primary practice location

160 Harden Pkwy
Suite 102
Salinas, CA 93906-5287

Mailing address

160 Harden Pkwy
Suite 102
Salinas, CA 93906-5287
Phone (831) 449-1600

Other identifiers 1

IdentifierTypeStateIssuer
D2229822OtherCADRIVER LICENSE

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
I20150618002860 CA Order and Referring Only - PsychiatryPractitioner - Psychiatry 2466488838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5994CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Audiology Incorporated Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578517538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HARDEN PKWY",
            "address_2": "SUITE 102",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065287",
            "telephone_number": "831-449-1600",
            "fax_number": "831-449-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HARDEN PKWY",
            "address_2": "SUITE 102",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065287",
            "telephone_number": "831-449-1600",
            "fax_number": "831-449-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A5994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "D2229822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.