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NPI Code Detail

MEDICARE: DR. ALDEN JOSEPH MCDONALD III M.D.

MEDICARE: DR. ALDEN JOSEPH MCDONALD III M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician230035MA
2207RC0000XCardiovascular Disease PhysicianM7415TX
3207RI0011XInterventional Cardiology PhysicianA115614CA
4207RC0000XCardiovascular Disease PhysicianA115614CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11083629786OTHERNPI

General Provider Information

NPI Number : 1083629786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALDEN JOSEPH MCDONALD III M.D.
Provider Business Mailing Address
First Line : 2855 MITCHELL DR STE 223
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-1609
Country : US
Telephone Number : 925-975-5930
Fax Number : 925-975-5941
Provider Business Practice Location Address
First Line : 365 HAWTHORNE AVE STE 201
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3114
Country : US
Telephone Number : 510-452-1345
Fax Number : 510-452-1102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 10/22/2021

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