MS. IMELDA DONATO
NPI 1194278085
Counselor - Professional in Stockton, CA
About Ms. Imelda Donato NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. IMELDA DONATO (NPI 1194278085) is an individual professional provider in Stockton, California, licensed in California (10174) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Imelda Donato is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Imelda Donato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
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.
STOCKTON, CA 95209
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 Imelda Donato's NPI number?
The NPI number for Imelda Donato is 1194278085. It was assigned to this individual provider in the NPPES registry on July 27, 2016.
Where is Imelda Donato located?
Imelda Donato practices at 3108 W Hammer Ln Ste B, Stockton, CA 95209. The listed phone number is (209) 440-0143.
What is Imelda Donato's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Imelda Donato enrolled in Medicare?
Yes. Imelda Donato is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Imelda Donato's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Imelda Donato reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Imelda Donato'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 Imelda Donato was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Ms. Imelda Donato · NPI 1194278085
Professional provider in Stockton, California. Individual provider, active in the CMS NPPES registry since July 27, 2016.
## Identity
- **NPI:** 1194278085 (Entity type: Individual)
- **Enumerated:** July 27, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 10174 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3108 W HAMMER LN STE B, Stockton, CA 95209-2752
- **Phone:** (209) 440-0143
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 1, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1194278085) · Data from the CMS NPPES public registry.