Kevin Donaghy, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A78703 Issued in CA

Practice address

1650 Creekside Dr
Folsom, CA 95630-3400

Phone

(916) 983-7400

NPI assigned

May 17, 2007

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Seneca Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Chester, CA
  • NPI 1326234022
  Medicare reassignment NPD
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345
  Medicare reassignment NPD
• Arctic Slope Native Association LTD

  dba Sammuel Simmonds Memorial Hospital

  • Critical Access Hospital
  • Barrow, AK
  • NPI 1306933643
  Medicare reassignment NPD
• Seneca Healthcare District

  dba Lake Almanor Clinic

  • Rural Health Clinic/Center
  • Chester, CA
  • NPI 1104920438
  NPD
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1396848677
  NPD
• Woodland Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Woodland, CA
  • NPI 1881868164
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1902014731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 CLAYTON WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351216",
            "telephone_number": "916-233-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303400",
            "telephone_number": "916-983-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAGHY",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01087373A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A78703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doc's Medical Mart (Bischoff's Medical Supplies)
• Doctors Resources Company II, LLC (University Medical Imaging)
• Denise Dolcini, LVN
• Karen Joanne Dominguez, RN, FNP-C
• Don Peterson MD, Sugical Assisting
• Donald E. Clarke, D.D.S., Inc. (Dental Source of California)
• Julie Marie Dong, LCSW, PPSC
• Donna a. K. Kalauokalani, MD, Inc. (Folsom Pain Management)
• David Doron, DPT
• Jennifer Dorrell, LCSW

• Emergency Medicine Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.