Active NPI
William Donald, RN, EMT-P, ATC
- Registered Nurse
- Moreno Valley, CA
National Provider Identifier
1720603301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 744995
- Practice address
- March Air Reserve Base
Moreno Valley, CA 92518 - Phone
- (951) 655-2751
- NPI assigned
- Jun 10, 2020
- Last updated
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P38530 | CA | |
| Registered Nurse | 163W00000X | 744995 | CA | Primary |
| Athletic Trainer | 2255A2300X | 80602094 | CA |
Addresses
Primary practice location
March Air Reserve Base
Moreno Valley, CA 92518
Mailing address
452ND Asts March Air Reserve Base
Apo, AA 92518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician - Paramedic, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P38530 | CA | MD | Paramedic |
| 744995 | CA | MD | Registered Nurse |
| 80602094 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1720603301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "452ND ASTS MARCH AIR RESERVE BASE",
"city": "APO",
"state": "AA",
"postal_code": "92518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARCH AIR RESERVE BASE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92518",
"telephone_number": "951-655-2751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALD",
"first_name": "WILLIAM",
"credential": "RN, EMT-P, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "CA",
"license": "P38530",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "744995",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "80602094",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.