Active NPI
Brian Patrick Donohoe
- Sports Medicine (Family Medicine) Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- A165462
- Practice address
- 1920 Colorado Ave
Santa Monica, CA 90404-3414 - Phone
- (310) 319-4700
- NPI assigned
- Apr 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A165462 | CA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | A165462 | CA | Primary |
Addresses
Primary practice location
1920 Colorado Ave
Santa Monica, CA 90404-3414
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1225 15th St Ste 2100
Santa Monica, CA 90404-1101
Phone (310) 319-1234
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210511001124 | CA | Practitioner - Family Practice | 6204257579 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regents of the University of CaliforniaUC Regents
Practice addresses (Care Compare)
1250 16TH St
Santa Monica, CA 90404-1249
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (310) 319-4700
403 W Adams Blvd
Los Angeles, CA 90007-2664
Phone (213) 742-1162
Hospital & facility affiliations
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.99
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.7 of 100
- Quality
- 82.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A165462 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Family Medicine | Current | Accepting new patients |
| Regents of the University of California | Sports Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| UCLA Family Practice | Family Medicine | Past | Accepting new patients |
| The Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
Locations
File 54206
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330
1111 W Inyokern Rd
Ste B
Ridgecrest, CA 93555
Phone (760) 301-6945
1920 Colorado Ave
Santa Monica, CA 90404
Phone (310) 319-4700
1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6560
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bdonohoe388013@direct.uclahealth.org
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1528179793
CA
-
- Durable Medical Equipment & Medical Supplies
- West Hills, CA
- NPI 1144112699
Sports Medicine
-
- Durable Medical Equipment & Medical Supplies
- Santa Monica, CA
- NPI 1265856652
-
- Durable Medical Equipment & Medical Supplies
- Santa Monica, CA
- NPI 1447674999
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1609592161
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
Hospital
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1669978862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 COLORADO AVE",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043414",
"telephone_number": "310-319-4700"
}
],
"practiceLocations": [
{
"address_1": "1225 15th St Ste 2100",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041101",
"country_code": "US",
"telephone_number": "310-319-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONOHOE",
"first_name": "BRIAN",
"middle_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A165462",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "A165462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.