Healthcare Provider Details

I. General information

NPI: 1477611143
Provider Name (Legal Business Name): DONALD R. TOWNSEND, M.D. A MEDICAL CORPORATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 WEBSTER ST SUITE 810
OAKLAND CA
94609-3117
US

IV. Provider business mailing address

3300 WEBSTER ST SUITE 810
OAKLAND CA
94609-3117
US

V. Phone/Fax

Practice location:
  • Phone: 510-893-4854
  • Fax: 510-893-2708
Mailing address:
  • Phone: 510-893-4854
  • Fax: 510-893-2708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number00C307240
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number00C307240
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number00C307240
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number00C307240
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number00C307240
License Number StateCA

VIII. Authorized Official

Name: DR. DONALD RAY TOWNSEND
Title or Position: OWNER
Credential: M.D.
Phone: 510-893-4854