Individual provider Active NPI

David Donner, MD

  • Emergency Medicine Physician
  • Ventura, CA
National Provider Identifier
1760041321
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A181008 Issued in CA
Practice address
300 Hillmont Ave
BLDG 340, Suite 201
Ventura, CA 93003-1651
Phone
(805) 652-6100
NPI assigned
Jun 7, 2019
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X A181008 CA Primary

Addresses

Primary practice location

300 Hillmont Ave
BLDG 340, Suite 201
Ventura, CA 93003-1651

Mailing address

800 S Victoria Ave # 4615
Ventura, CA 93009-0003
Phone (805) 677-5181

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
I20220722002250 CA Practitioner - Emergency Medicine 4183005028 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Creighton University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Health and WellnessGroup PAC ID 3678946282, 38 clinicians
Orchard HospitalGroup PAC ID 6800709049, 16 clinicians

Practice addresses (Care Compare)

1601 Esplanade
Chico, CA 95926-3370
Phone (530) 332-7148

173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308

240 Spruce St
Gridley, CA 95948-2216
Phone (530) 846-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181008CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Hospital CurrentSince Oct 30, 2024 Accepting new patients
Orchard Hospital Current Accepting new patients
American Specialty Physicians Group Inc Emergency Medicine CurrentSince Feb 2, 2024 Accepting new patients
Seaside Emergency Associates Emergency Medicine CurrentSince Aug 4, 2022 Accepting new patients
Pacific Inpatient Physicians CurrentSince Oct 1, 2022 Accepting new patients

Locations

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

240 Spruce St
Gridley, CA 95948
Phone (530) 846-5671

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1760041321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S VICTORIA AVE # 4615",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930090003",
            "telephone_number": "805-677-5181",
            "fax_number": "805-677-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE",
            "address_2": "BLDG 340, SUITE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-652-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A181008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.