Active NPI
Donald Wayne Plance, DO
- Family Medicine Physician
- Montrose, CA
National Provider Identifier
1942318134
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Nov 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A5465
- Practice address
- 2520 Honolulu Ave
Ste 170
Montrose, CA 91020-1853 - Phone
- (818) 249-4134
- Fax
- (818) 249-9523
- NPI assigned
- Aug 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A5465 | CA | Primary |
Addresses
Primary practice location
2520 Honolulu Ave
Ste 170
Montrose, CA 91020-1853
Mailing address
2520 Honolulu Ave
Ste 170
Montrose, CA 91020-1853
Phone (818) 249-4134
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A5465 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flintridge Physical Therapy | Past | Accepting new patients | |
| Angels of the Valley Hospice Care, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Montrose, CA
- NPI 1194830513
-
- Physical Therapy Clinic/Center
- Montrose, CA
- NPI 1376204438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1942318134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 HONOLULU AVE",
"address_2": "STE 170",
"city": "MONTROSE",
"state": "CA",
"postal_code": "910201853",
"telephone_number": "818-249-4134",
"fax_number": "818-249-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 HONOLULU AVE",
"address_2": "STE 170",
"city": "MONTROSE",
"state": "CA",
"postal_code": "910201853",
"telephone_number": "818-249-4134",
"fax_number": "818-249-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANCE",
"first_name": "DONALD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A5465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.