MICHAEL ALAN DONATH
NPI 1083125207
Psychiatry & Neurology - Psychosomatic Medicine in Venice, CA

Active since October 15, 2017PECOS EnrolledAccepts Medicare Assignment
604 ROSE AVE, VENICE, CA 90291(310) 392-8636(310) 943-3521 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2024, Aug 4, 2022, Jul 5, 2021 and 1 more (4 updates tracked since 2017).

About Michael Alan Donath NPPES

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

MICHAEL ALAN DONATH (NPI 1083125207) is an individual psychosomatic medicine provider in Venice, California, licensed in California (A177661) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Davis School Of Medicine (2019).

NPPES Registry Identity

NPI1083125207
Entity TypeIndividualMale
Primary Taxonomy2084P0015X
Provider Legal NameMICHAEL ALAN DONATH
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636 · Fax (310) 943-3521
Fax(310) 943-3521
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2019
Enumeration DateOctober 15, 2017
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1083125207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Psychosomatic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0015X
License Licensed in CA · A177661
Definition

Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License PTL644 (CA), A177661 (CA)
604 ROSE AVE, Venice, CA 90291

Secondary Practice Locations 2

Location 12230 Stockton BlvdSacramento, CA 95817-1353 · Phone (916) 734-0870
Location 24610 X StSacramento, CA 95817-2200 · Phone (916) 734-4800

Other Identifiers 2

Other390200000XCA · 39 Student,health Care
MedicaidA177661CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Alan Donath is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961931472
PECOS Enrollment IDI20250129001378
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Dentist
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Nurse Practitioner (Family)
604 ROSE AVE
VENICE, CA 90291
Dietitian, Registered
604 ROSE AVE
VENICE, CA 90291

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 Michael Donath's NPI number?

The NPI number for Michael Donath is 1083125207. It was assigned to this individual provider in the NPPES registry on October 15, 2017.

Where is Michael Donath located?

Michael Donath practices at 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8636.

What is Michael Donath's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychosomatic Medicine, with taxonomy code 2084P0015X.

Is Michael Donath enrolled in Medicare?

Yes. Michael Donath is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Donath was last updated on September 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.