| Michelle Donato, NP | |
|
1310 W Stewart Dr, Suite 410, Orange, CA 92868 | |
| (714) 639-9401 | |
| Not Available |
| Full Name | Michelle Donato |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1310 W Stewart Dr, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477522035 | NPI | - | NPPES |
| 1912919804 | Other | NPI - TYPE 2 | |
| 500012159 | Other | CA | RAIL ROAD MEDICARE - PROVIDER PTAN |
| CG5665 | Other | CA | RAIL ROAD MEDICARE - GROUP PTAN |
| W1514 | Other | CA | MEDICARE PTAN - TYPE 2 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 468117 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Donato, NP 1310 W Stewart Dr Ste 410, Orange, CA 92868-3855 Ph: () - | Michelle Donato, NP 1310 W Stewart Dr, Suite 410, Orange, CA 92868 Ph: (714) 639-9401 |
Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277 | |
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763 | |
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715 | |
Anna Katrina Cruz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300 | |
Mrs. Theresa A Limlengco, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 438 E Katella Ave Ste 226, Orange, CA 92867 Phone: 760-933-0031 | |
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459 | |
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 |