Individual provider Active NPI

Sandra Gail Donnelly, MD

  • Emergency Medicine Physician
  • Whittier, CA
National Provider Identifier
1811938509
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G49068 Issued in CA
Practice address
9080 Colima Rd
Whittier, CA 90605-1600
Phone
(562) 907-1565
Fax
(562) 907-1585
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G49068 CA Primary

Addresses

Primary practice location

9080 Colima Rd
Whittier, CA 90605-1600

Mailing address

3 Summitcrest
Trabuco Canyon, CA 92679-3411
Phone (949) 858-9708

Other identifiers 1

IdentifierTypeStateIssuer
00G490680MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000498 CA Practitioner - Emergency Medicine 5890786651 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G49068CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Hospitalists Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Sep 23, 2008 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine Current Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Apr 8, 2020 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Seven Star Hospital Associates Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Sep 7, 2024 Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine CurrentSince Apr 1, 2005 Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation Past Accepting new patients
Norwalk Community Emergency Physician Group Inc Emergency Medicine Past Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Anaheim Memorial Hospital Emergency Physicians Medical Group Emergency Medicine Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1811938509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SUMMITCREST",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793411",
            "telephone_number": "949-858-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 COLIMA RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051600",
            "telephone_number": "562-907-1565",
            "fax_number": "562-907-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "SANDRA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G49068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G490680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.