Provider Demographics
NPI:1578688461
Name:DONALDSON, ARTHUR NORTON III (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:NORTON
Last Name:DONALDSON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W HARBOR DR UNIT 2601
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7759
Mailing Address - Country:US
Mailing Address - Phone:619-961-6654
Mailing Address - Fax:
Practice Address - Street 1:700 W HARBOR DR UNIT 2601
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-7759
Practice Address - Country:US
Practice Address - Phone:619-961-6654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20752207W00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA942593611OtherFEIN
CA110900OtherEYEMED
CA1299310001OtherDMERC SONORA
CA00G207250Medicaid
CA1299310002OtherDMERC ANGELS CAMP
CA180011028OtherRAILROAD MEDICARE