BREAHN FAYE-MERIE DONALDSON MD
NPI 1104486208
Emergency Medicine in Tarzana, CA
About Breahn Faye-merie Donaldson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREAHN FAYE-MERIE DONALDSON MD (NPI 1104486208) is an individual emergency medicine provider in Tarzana, California, licensed in California (A177144) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Breahn Faye-merie Donaldson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Breahn Donaldson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TARZANA, CA 91356
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 Breahn Donaldson's NPI number?
The NPI number for Breahn Donaldson is 1104486208. It was assigned to this individual provider in the NPPES registry on June 19, 2019.
Where is Breahn Donaldson located?
Breahn Donaldson practices at 18555 Ventura Blvd Ste B, Tarzana, CA 91356. The listed phone number is (818) 614-3088.
What is Breahn Donaldson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Breahn Donaldson enrolled in Medicare?
Yes. Breahn Donaldson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Breahn Donaldson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breahn Donaldson reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breahn Donaldson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Breahn Donaldson was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Breahn Faye-Merie Donaldson, MD · NPI 1104486208
Emergency Medicine physician in Tarzana, California. Individual provider, active in the CMS NPPES registry since June 19, 2019.
## Identity
- **NPI:** 1104486208 (Entity type: Individual)
- **Enumerated:** June 19, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A177144 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 18555 VENTURA BLVD STE B, Tarzana, CA 91356-4192
- **Phone:** (818) 614-3088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104486208) · Data from the CMS NPPES public registry.