Individual provider Active NPI

John Donovan, MD

  • Anesthesiology Physician
  • Oakland, CA
National Provider Identifier
1871509307
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G83782 Issued in CA
Practice address
350 Hawthorne Ave
Oakland, CA 94609-3100
Phone
(510) 655-4000
Fax
(515) 869-8906
NPI assigned
Aug 1, 2006
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G83782 CA Primary

Addresses

Primary practice location

350 Hawthorne Ave
Oakland, CA 94609-3100

Mailing address

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

Other identifiers 1

IdentifierTypeStateIssuer
00G837820MedicaidCA

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
I20051117000323 CA Practitioner - Anesthesiology 3375518905 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Ambulatory Consultants Medical Group IncGroup PAC ID 0446299184, 6 clinicians

Practice addresses (Care Compare)

2405 Shadelands Dr
Suite 200
Walnut Creek, CA 94598-5916
Phone (925) 935-6700

3875 Telegraph Ave
Oakland, CA 94609-2428
Phone (510) 547-2244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83782CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Ambulatory Consultants Medical Group Inc Anesthesiology CurrentSince Dec 8, 2020 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
East Bay Anesthesiology Medical Group, Inc Anesthesiology CurrentSince Jul 1, 1999 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

3875 Telegraph Ave
Oakland, CA 94609
Phone (510) 547-2244

100 Park Pl
Ste 110
San Ramon, CA 94583
Phone (510) 972-8798

26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2405 Shadelands Dr
Ste 200
Walnut Creek, CA 94598
Phone (615) 234-5924

Interoperability endpoints

  • Direct secure messaging: jdonovan161223@hisp.ehr.sutterhealth.org
  • Direct secure messaging: jdonovan916590@direct.memorialcare.org

Organizations & group practices 8

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1871509307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-655-4000",
            "fax_number": "515-869-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093100",
            "telephone_number": "510-655-4000",
            "fax_number": "515-869-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G83782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G837820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.