DR. SALLY LOUISE DAVIS (NPI# 1154403533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154403533 |
| Entity Type | Individual |
| Full Name | DR. SALLY LOUISE DAVIS |
| Credential | M.D. |
| Practice Address |
2637 Shadelands Dr Walnut Creek CA 94598-2512 |
| Practice Telephone | 9259326330 |
| Practice Fax Number | 9259320139 |
| Mailing Telephone | 9259326330 |
| Mailing Fax Number | 9259320139 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
C38321 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | C38321 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184089674 | Sally Raspberry Davis | Massage Therapist | 1152 Executive Circle, Suite 200, Cary, NC 27511 | 2015-12-28 |
| 1538287842 | Sally A Davis | Counselor | 831 Clinton St, Apt 13, Hoboken, NJ 07030 | 2007-03-26 |
| 1467589457 | Sally Joyce Davis | Physician Assistant | 7601 East Imperial Blvd., Rancho Los Amigos Jpi 3rd Floor Neurorehab Office, Downey, CA 90242 | 2007-02-27 |
| 1831120203 | Sally Marie Davis | Nurse Practitioner | 709 N May St, Chandler, AZ 85226-1803 | 2006-07-05 |
| 1386126027 | Sally Jean Davis | Occupational Therapist | 1201 Holland Lake Dr, Weatherford, TX 76086-5851 | 2018-08-29 |
| 1891236600 | Sally Davis | Counselor | 921 14th Ave, Longview, WA 98632-2316 | 2017-03-13 |
| 1033418363 | Sally Purdy Davis | Registered Nurse | 3101 Burnet Avenue, Room 116, Cincinnati, OH 45229-3014 | 2011-03-25 |
| 1942433842 | Sally R Davis | Dentist | 1510 Liberty Rd, Eldersburg, MD 21784-6511 | 2009-08-26 |
| 1558501411 | Sally Ann Davis | Physician Assistant | 3687 Veterans Drive, Fort Harrison, Helena, MT 59636 | 2009-03-04 |
| 1366564692 | Sally Davis | Psychoanalyst | 3000 Weslayan St Ste 255, Houston, TX 77027-5751 | 2007-04-06 |
| Street Address |
2637 SHADELANDS DR |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244183 | Fernando R Otero | Surgery | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2005-06-09 |
| 1568012052 | Angela Leverich | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2019-09-16 |
| 1811479504 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinic/Center | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-08-30 |
| 1265914956 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinical Medical Laboratory | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-08-30 |
| 1023501905 | Bay Area Surgical Specialists Inc A Medical Corporation | Radiology | 2637 Shadelands Dr, Walnut Creek, CA 94598 | 2018-06-14 |
| 1396245064 | Kimberly Dionne Oja | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-02-19 |
| 1679080071 | Corinne R Colombo | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-01-07 |
| 1750892501 | Kathryne Chirco | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598 | 2017-10-19 |
| 1295274488 | Advanced Sleep Diagnostics, Inc. | Otolaryngology | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2017-02-21 |
| 1649681982 | Heidi Chang | Obstetrics & Gynecology | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2014-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467425439 | Ryan Alan Brown | Internal Medicine | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2006-02-09 |
| 1942706569 | University Healthcare Alliance | Internal Medicine | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2018-04-03 |
| 1992857700 | A. William Waibel | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-18 |
| 1245318302 | Christopher J. Forrest | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1124106224 | Sushil V. Karmarkar | Internal Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1689772360 | Timothy A Carlton | Internal Medicine | 1399 Ygnacio Valley Rd, Suite 11, Walnut Creek, CA 94598-2884 | 2006-09-20 |
| 1013947670 | Mark D Nathan | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-07-03 |
| 1740210301 | John R Krouse | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-07-03 |
| 1659301216 | Neal W White | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-07-03 |
| 1851329270 | Andrew J Benn | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-06-28 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on DR. SALLY LOUISE DAVIS.
| 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.