MS. ELAINE MARY DAVIDSON (NPI# 1023144763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023144763 |
| Entity Type | Individual |
| Full Name | MS. ELAINE MARY DAVIDSON |
| Credential | LVN |
| Practice Address |
143 Dawn Cir Galt CA 95632-2607 |
| Practice Telephone | 2097459044 |
| Mailing Telephone | 2097459044 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
VN141423 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467562165 | Elaine L Davidson | Social Worker | 9040 Friars Rd, Suite 420, San Diego, CA 92108-5859 | 2006-08-30 |
| 1972534691 | Elaine H Davidson | Family Medicine | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2006-07-05 |
| 1093705022 | Elaine M. Davidson | Family Medicine | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2005-10-21 |
| Street Address |
143 DAWN CIR |
| City | GALT |
| State | CA |
| Zip Code | 95632-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598004905 | Francisca Beatriz Morgan | Case Manager/Care Coordinator | 240 Sasha Rose Dr, Galt, CA 95632 | 2013-02-05 |
| 1407181704 | Strategies for Change | Community/Behavioral Health | 12945 Marengo Road, Galt, CA 95632 | 2009-10-05 |
| 1801964721 | Rosewood Manor | Custodial Care Facility | 13386 Marengo Rd, Rosewood Manor, Galt, CA 95632 | 2006-11-30 |
| 1053418657 | Ronald T Oye | Optometrist | 730 Spaans Dr, Ste A, Galt, CA 95632 | 2006-09-19 |
| 1194197723 | Arti Sharma | Pharmacist | 10470 Twin Cities Rd, Galt, CA 95632 | 2015-10-22 |
| 1255493219 | Kaio Alan Doxey | Chiropractor | 550 Industrial Dr, Ste 250, Galt, CA 95632-1648 | 2006-12-15 |
| 1386713782 | Jesse Davis | Counselor | 409 N Lincoln Way Apt 7, Galt, CA 95632-1651 | 2006-11-07 |
| 1578505301 | Longs Drug Stores California LLC | Pharmacy | 1063 C St, Galt, CA 95632-1700 | 2006-06-13 |
| 1962032151 | Maily Vang | Pharmacist | 1063 C St, Galt, CA 95632-1700 | 2020-01-16 |
| 1790242642 | Tina Le | Pharmacist | 1063 C St, Galt, CA 95632-1700 | 2019-02-27 |
| Find all providers in zip 95632 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564384 | Chalissa A Robinson | Counselor | 750 Spaans Dr Ste F, Galt, CA 95632-8609 | 2020-10-05 |
| 1407489941 | Olivia Moran | Counselor | 750 Spaans Dr Ste C, Galt, CA 95632-8609 | 2020-02-12 |
| 1144794991 | Lisa Leetta Jewett | Counselor | 750 Spaans Dr Ste Cd&f, Galt, CA 95632-8609 | 2019-01-15 |
| 1750746335 | Diana Tidwell | Counselor | 931 Ranch Rd, Galt, CA 95632-8341 | 2015-12-23 |
| 1063700540 | Sarah Ann Gonzalez | Counselor | 25583 N Cherokee Ln, Galt, CA 95632-8210 | 2011-07-18 |
| 1437270733 | San Joaquin County Behavior Health Substance Abuse Services | Counselor | 750 Birch Ct, Galt, CA 95632-8768 | 2007-04-03 |
| 1174156558 | Nicole Lee Gilseth | Counselor | 750 Spaans Dr Ste C, Galt, CA 95632-8609 | 2020-02-13 |
| 1811520281 | Corlina Eisert | Counselor | 750 Spaans Dr Ste Cd&f, Galt, CA 95632-8609 | 2020-02-13 |
| 1689214041 | Jaimie Lynn James | Counselor | 750 Spaans Dr Ste Cd&f, Galt, CA 95632-8609 | 2020-01-13 |
| 1205485521 | Sobriety Brings A Change | Counselor | 145 N Lincoln Way, Galt, CA 95632-1720 | 2019-09-09 |
| Find all providers in GALT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.