1. Home
  2. Directory
  3. California
  4. Fort Bragg
  5. Pediatrics
  6. NPI Profile

MR. DONAVAN D SPENCER MD
NPI 1609803691
Pediatrics in Fort Bragg, CA

Active since June 27, 2006
205 SOUTH ST, FORT BRAGG, CA 95437(707) 964-1251 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2022, Feb 27, 2019 (2 updates tracked since 2019).

About Mr. Donavan D Spencer Md NPPES

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

MR. DONAVAN D SPENCER MD (NPI 1609803691) is an individual pediatrics provider in Fort Bragg, California, licensed in California (G85455) and active in the NPI registry since June 2006. He maintains a secondary practice location in Fort Bragg.

NPPES Registry Identity

NPI1609803691
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. DONAVAN D SPENCERCredential: MD
Location Address205 SOUTH STFort Bragg, CA 95437-5540
Mailing Address205 South StFort Bragg, CA 95437-5540 · (707) 964-1251
Phone(707) 964-1251
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1609803691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · G85455✔ Licensed in ME · MD26431
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
205 SOUTH ST, Fort Bragg, CA 95437
Open in Google Maps ↗

Secondary Practice Location 1

Location 1510 Cypress St Ste DFort Bragg, CA 95437-5411 · Phone (707) 964-1251

Other Identifiers 2

Other00G854550CA · Bs Of Ca
Medicaid00G854550CA

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.

MR. RICHARD WILLIAM JAULUS LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. KIMBERLY JILL CELERI RDH
Dental Hygienist
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
JOHN T WALLACE II MD
Internal Medicine
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. RENA BLAUNER LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
MS. LYNNE BARBARA BORNHEIM LCSW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-4088
SONIA CASTRO
Health Educator
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-3434
MR. MITCHELL PAUL KERMAN ACUPUNCTURIST
Acupuncturist
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251
DAVID TODD STEIN ASW
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-4088

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 Donavan Spencer's NPI number?

The NPI number for Donavan Spencer is 1609803691. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Donavan Spencer located?

Donavan Spencer practices at 205 South St, Fort Bragg, CA 95437. The listed phone number is (707) 964-1251.

What is Donavan Spencer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Donavan Spencer was last updated on November 11, 2022. 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.