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BREAHN FAYE-MERIE DONALDSON MD
NPI 1104486208
Emergency Medicine in Tarzana, CA

Active since June 19, 2019PECOS Enrolled
18555 VENTURA BLVD STE B, TARZANA, CA 91356(818) 614-3088 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Jul 22, 2022, Jun 19, 2019 (3 updates tracked since 2019).

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

NPI1104486208
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameBREAHN FAYE-MERIE DONALDSONCredential: MD
Location Address18555 VENTURA BLVD STE BTarzana, CA 91356-4192
Mailing Address18555 Ventura Blvd Ste BTarzana, CA 91356-4192
Phone(818) 614-3088
Sole ProprietorNo
Enumeration DateJune 19, 2019
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1104486208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A177144
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatricsTaxonomy 208000000X · License A177144 (CA)
18555 VENTURA BLVD STE B, Tarzana, CA 91356
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Secondary Practice Location 1

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (323) 660-2450

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breahn Faye-merie Donaldson Md 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 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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 2

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

MVP PEDIATRIC AND URGENT CARE A PROFESSIONAL CORPORATION
Pediatrics
18555 VENTURA BLVD STE B
TARZANA, CA 91356
Los Angeles County (310) 849-4400
ALYSSA LADNER MD
Pediatrics
18555 VENTURA BLVD STE B
TARZANA, CA 91356
Los Angeles County (818) 614-3088

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.

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 2 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.