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MR. IAN JOSEPH DONAHUE PA-C
NPI 1023406725
Physician Assistant in Upland, CA

Active since January 03, 2015PECOS Enrolled
1310 SAN BERNARDINO RD, STE. 103, UPLAND, CA 91786(909) 920-0444(909) 920-5044 Get Directions Write a Review

NPPES record last updated: January 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ian Joseph Donahue Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IAN JOSEPH DONAHUE PA-C (NPI 1023406725) is an individual physician assistant in Upland, California, licensed in California (51838) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023406725
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. IAN JOSEPH DONAHUECredential: PA-C
Location Address1310 SAN BERNARDINO RD, STE. 103Upland, CA 91786-4979
Mailing Address1310 San Bernardino Rd, Ste. 103Upland, CA 91786-4979 · (909) 920-0444 · Fax (909) 920-5044
Phone(909) 920-0444
Fax(909) 920-5044
Sole ProprietorNo
Enumeration DateJanuary 3, 2015
✔ NPI 1023406725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 51838
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1310 SAN BERNARDINO RD, Upland, CA 91786
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ian Joseph Donahue Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADONNA ZAND
Nurse Practitioner (Family)
1310 SAN BERNARDINO RD, 205
UPLAND, CA 91786
San Bernardino County (909) 981-9991
AMANDA INGALLS PA-C
Physician Assistant
1310 SAN BERNARDINO RD, SUITE 101
UPLAND, CA 91786
San Bernardino County (909) 579-0779
TAN KHAC NGUYEN M.D.
Dermatology (Procedural Dermatology)
1310 SAN BERNARDINO RD, SUITE 207
UPLAND, CA 91786
San Bernardino County (909) 946-8600
ADVANCED SKIN CLINIC & SURGERY, PC
Dermatology
1310 SAN BERNARDINO RD, SUITE 207
UPLAND, CA 91786
San Bernardino County (909) 946-8600
MRS. LORRAINE MAE DOMINICK WHNP
Nurse Practitioner (Obstetrics & Gynecology)
1310 SAN BERNARDINO RD
UPLAND, CA 91786
San Bernardino County (909) 579-0806
ALWAN MD INC
Specialist
1310 SAN BERNARDINO RD
UPLAND, CA 91786
San Bernardino County (909) 981-9991
DR. MONICA A. VALENZUELA-GAMM D.O.
Obstetrics & Gynecology
1310 SAN BERNARDINO RD, SUITE # 201
UPLAND, CA 91786
San Bernardino County (909) 355-7855
TAMUYEN NGUYEN M.D.
Dermatology
1310 SAN BERNARDINO RD, SUITE 207
UPLAND, CA 91786
San Bernardino County (909) 946-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Donahue's NPI number?

The NPI number for Ian Donahue is 1023406725. It was assigned to this individual provider in the NPPES registry on January 3, 2015.

Where is Ian Donahue located?

Ian Donahue practices at 1310 San Bernardino Rd Ste. 103, Upland, CA 91786. The listed phone number is (909) 920-0444.

What is Ian Donahue's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ian Donahue enrolled in Medicare?

Yes. Ian Donahue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Donahue was last updated on January 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.