DR. JACOB ALEXANDER DAVIDSON (NPI# 1063886869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063886869 |
| Entity Type | Individual |
| Full Name | DR. JACOB ALEXANDER DAVIDSON |
| Credential | MD |
| Practice Address |
14445 Olive View Dr Sylmar CA 91342-1437 |
| Practice Telephone | 8189225668 |
| Mailing Telephone | 8189225668 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
PTL230 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168015 | Jacob Bryan Davidson | Behavior Technician | 9901 Ne 7th Ave Ste C116, Vancouver, WA 98685-4528 | 2020-03-11 |
| Street Address |
14445 OLIVE VIEW DR |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758864 | Miguel Angel Valdes-sueiras | Psychiatry & Neurology | 14445 Olive View Dr, #2c-136, Sylmar, CA 91342-1437 | 2005-08-23 |
| 1568075505 | Dexter Alejandro De Vera | Registered Nurse | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-08-28 |
| 1790396968 | County of Los Angeles | General Acute Care Hospital | 14445 Olive View Dr, Clinic A Exam Room 1-11, Sylmar, CA 91342-1438 | 2020-08-12 |
| 1982225405 | Sandy Peoples | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-05-06 |
| 1255952503 | Samir Shah | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-28 |
| 1407476864 | Jennifer Vanessa Mogi | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-25 |
| 1376163717 | Mia Kunitomo | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-24 |
| 1215557830 | Jonathan Mason Allen | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-23 |
| 1568081966 | Erfan Zarrinkhoo | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1438 | 2020-04-15 |
| 1407475759 | Karen My Ly | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487188629 | Jason P Lee | Specialist | 14445 Olive View Dr # H1, Sylmar, CA 91342-1437 | 2017-04-14 |
| 1831589001 | Maria-teresa Talatala | Specialist | 12267 Windmere Ave, Sylmar, CA 91342-5157 | 2015-01-27 |
| 1427113463 | Mid City Associates Medical Group | Specialist | 12610 Glenoaks Blvd, Sylmar, CA 91342-4783 | 2006-12-27 |
| 1184185787 | Jonathan Daniel Gomez | Specialist | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2019-03-27 |
| 1306306584 | Joshua Finley | Specialist | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2019-03-22 |
| 1790263101 | Andrea Birnbaum | Specialist | 14445 Olive View Dr # H1, Sylmar, CA 91342-1437 | 2018-07-30 |
| 1174726954 | Roslyn Mianglee Chaisanguanthum | Specialist | 14445 Olive View Dr, Room 2b-182, Sylmar, CA 91342-1437 | 2007-06-07 |
| 1013072073 | Alvin Chin | Specialist | 12610 Glenoaks Blvd, Sylmar, CA 91342-4783 | 2006-12-27 |
| 1891893004 | Simi San Fernando Valley Urology Associates | Specialist | 14124 Foothill Blvd, Sylmar, CA 91342-8049 | 2006-09-20 |
| 1134165467 | Stanley Kwan Dea | Specialist | 14445 Olive View Dr, Room 2b-182, Sylmar, CA 91342-1437 | 2006-06-22 |
| Find all providers in SYLMAR | ||||
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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.