Individual provider Active NPI

Danielle Dondiego, D.O.

  • Family Medicine Physician
  • South San Francisco, CA
National Provider Identifier
1982947610
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
074676 Issued in GA
Practice address
611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066
Phone
(650) 761-4056
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16564 CA
Family Medicine Physician 207Q00000X 074676 GA Primary

Addresses

Primary practice location

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066

Mailing address

3776 US Highway 17
PO Box 640
Savannah, GA 31404
Phone (912) 350-7020

Other practice location 1

3776 US Highway 17
Savannah, GA 31404
Phone (912) 350-7020

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20160707001764 GA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8729370077 Reassigns benefits to 2 organizations
I20250820004620 CA Practitioner - Family Practice 8729370077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 W 36TH St
Suite 237
New York, NY 10018-3612

226 Sage Blvd
Middletown, PA 17057-2359

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dreem Sleep Clinic of California CurrentSince Jul 1, 2025 Accepting new patients
Wetherington Chiropractic Clinic CurrentSince Dec 29, 2018 Accepting new patients
MPPG, Inc. Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Regenerative Healthcare, LLC Family Medicine CurrentSince Dec 29, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
Enhanced Chiropractic, LLC PastSince Dec 22, 2020 Accepting new patients

Locations

611 Gateway Blvd
Ste 120
South San Francisco, CA 94080
Phone (650) 480-6023

114 Canal St
Ste 603
Pooler, GA 31322
Phone (912) 414-5226

329 Eisenhower Dr
Ste D
Savannah, GA 31406
Phone (912) 351-0005

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

121 W 36th St
#237
New York, NY 10018
Phone (650) 761-4056

Organizations & group practices 7

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1982947610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3776 US HIGHWAY 17",
            "address_2": "PO BOX 640",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-350-7020",
            "fax_number": "912-459-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 GATEWAY BLVD STE 120",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807066",
            "telephone_number": "650-761-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3776 US Highway 17",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-350-7020",
            "fax_number": "912-459-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONDIEGO",
        "first_name": "DANIELLE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "16564",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "074676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.