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DONOVAN PAUL SHIVELY MD
NPI 1063485217
Obstetrics & Gynecology in Fairfield, CA

Active since February 08, 2006
4397 EDINBURG CT, FAIRFIELD, CA 94534(707) 864-2311(707) 864-2317 Get Directions Write a Review

NPPES record last updated: October 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donovan Paul Shively Md NPPES

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

DONOVAN PAUL SHIVELY MD (NPI 1063485217) is an individual obstetrics & gynecology provider in Fairfield, California, licensed in California (G21888) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1063485217
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDONOVAN PAUL SHIVELYCredential: MD
Location Address4397 EDINBURG CTFairfield, CA 94534
Mailing Address4397 Edinburg CtFairfield, CA 94534 · (707) 864-2311 · Fax (707) 864-2317
Phone(707) 864-2311
Fax(707) 864-2317
Sole ProprietorYes
Enumeration DateFebruary 8, 2006
Last NPPES UpdateOctober 8, 2009
✔ NPI 1063485217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G21888
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4397 EDINBURG CT, Fairfield, CA 94534
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Other Identifiers 3

Medicare PIN00G218880CA
Medicare UPINA41413
Medicaid00G218880CA

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 Donovan Shively's NPI number?

The NPI number for Donovan Shively is 1063485217. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Donovan Shively located?

Donovan Shively practices at 4397 Edinburg Ct, Fairfield, CA 94534. The listed phone number is (707) 864-2311.

What is Donovan Shively's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Donovan Shively was last updated on October 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.