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DR. DONALD LEE MCGILLIVRAY AU.D.
NPI 1538316708
Audiologist in Santa Rosa, CA

Active since August 19, 2008
3333 MENDOCINO AVE, SANTA ROSA, CA 95403(707) 292-6896 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 18, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About Dr. Donald Lee Mcgillivray Au.d. NPPES

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

DR. DONALD LEE MCGILLIVRAY AU.D. (NPI 1538316708) is an individual audiologist in Santa Rosa, California, licensed in California (AU2618) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1538316708
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameDR. DONALD LEE MCGILLIVRAYCredential: AU.D.
Location Address3333 MENDOCINO AVESanta Rosa, CA 95403-2261
Mailing Address2335 Lomitas Ave, #111Santa Rosa, CA 95404-2161
Phone(707) 292-6896
Sole ProprietorNo
Enumeration DateAugust 19, 2008
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
✔ NPI 1538316708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in CA · AU2618
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
3333 MENDOCINO AVE, Santa Rosa, CA 95403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald Lee Mcgillivray Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Donald Mcgillivray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
35 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

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 6

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

DR. HAROLD R. MANCUSI-UNGARO JR. MD
Plastic Surgery
3333 MENDOCINO AVE, SUITE 130
SANTA ROSA, CA 95403
Sonoma County (707) 566-5288
NANCY D WARREN AUD
Audiologist
3333 MENDOCINO AVE, SUITE 240
SANTA ROSA, CA 95403
Sonoma County (707) 566-5201
MAUREEN MCKENZIE MS RDN
Dietitian, Registered
3333 MENDOCINO AVE
SANTA ROSA, CA 95403
Sonoma County (707) 393-3506
KATHY MATONAK AU.D.
Audiologist
3333 MENDOCINO AVE, SUITE 240
SANTA ROSA, CA 95403
Sonoma County (707) 566-5201
MRS. JOANNE EWART M.S.
Audiologist
3333 MENDOCINO AVE, #240
SANTA ROSA, CA 95403
Sonoma County (707) 566-5201
CATHERINE SUSAN SANDERS M.A.
Audiologist
3333 MENDOCINO AVE, SUITE 240
SANTA ROSA, CA 95403
Sonoma County (707) 566-5201

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 Donald Mcgillivray's NPI number?

The NPI number for Donald Mcgillivray is 1538316708. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Donald Mcgillivray located?

Donald Mcgillivray practices at 3333 Mendocino Ave, Santa Rosa, CA 95403. The listed phone number is (707) 292-6896.

What is Donald Mcgillivray's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Donald Mcgillivray enrolled in Medicare?

Yes. Donald Mcgillivray is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Mcgillivray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Mcgillivray reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Donald Mcgillivray'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 Donald Mcgillivray was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.