Organization Active NPI

Joseph Donnelly, M.D., a Professional Corporation

  • Orthopaedic Surgery Physician
  • Livermore, CA
National Provider Identifier
1578593307
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A78117 Issued in CA
Legal business name
JOSEPH DONNELLY, M.D., A PROFESSIONAL CORPORATION
Practice address
1133 E Stanley Blvd
Suite 111
Livermore, CA 94550-4200
Phone
(925) 371-5377
Fax
(925) 371-0948
NPI assigned
Jul 4, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joseph R Donnelly, M.D.
Title
MD/President
Phone
(925) 371-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A78117 CA Primary

Addresses

Primary practice location

1133 E Stanley Blvd
Suite 111
Livermore, CA 94550-4200

Mailing address

PO Box 1319
Salida, CA 95368-1319
Phone (209) 543-6279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578593307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1319",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953681319",
            "telephone_number": "209-543-6279",
            "fax_number": "209-543-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "SUITE 111",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-371-5377",
            "fax_number": "925-371-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DONNELLY, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "925-371-5377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A78117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.