Individual provider Active NPI

Donna Carol Hamby, FNP

  • Family Nurse Practitioner
  • Concord, CA
National Provider Identifier
1619311065
Registry record updated Apr 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22895 Issued in CA
Practice address
5509 Nebraska Dr
Concord, CA 94521-4006
Phone
(925) 639-5286
NPI assigned
Apr 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22895 CA Primary

Addresses

Primary practice location

5509 Nebraska Dr
Concord, CA 94521-4006

Mailing address

5509 Nebraska Dr
Concord, CA 94521-4006
Phone (925) 639-5286

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025003104 CA Practitioner - Nurse Practitioner 4284987975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain Management Medical Group, Inc. CurrentSince Aug 27, 2018 Accepting new patients

Locations

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

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": "1367107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367107200000",
    "number": "1619311065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 NEBRASKA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214006",
            "telephone_number": "925-639-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 NEBRASKA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214006",
            "telephone_number": "925-639-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBY",
        "first_name": "DONNA",
        "middle_name": "CAROL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-28",
        "last_updated": "2013-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.