Healthcare Provider Details

I. General information

NPI: 1194420158
Provider Name (Legal Business Name): ANNE DONEGAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 TREAT BLVD STE 140
WALNUT CREEK CA
94597-2168
US

IV. Provider business mailing address

1450 TREAT BLVD STE 140
WALNUT CREEK CA
94597-2168
US

V. Phone/Fax

Practice location:
  • Phone: 925-296-9770
  • Fax:
Mailing address:
  • Phone: 925-296-9770
  • Fax: 925-296-9092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25214
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: