DR. JEFFREY DAVIS (NPI# 1285632729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285632729 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DAVIS |
| Credential | M.D. |
| Practice Address |
500 1st Ave Portola CA 96122-9406 |
| Mailing Address |
6979 Skyline Bl Oakland CA 94611-6102 |
| Practice Telephone | 5308326500 |
| Mailing Telephone | 5103392113 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G24794 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902346042 | Jeffrey Samuel Davis | Durable Medical Equipment & Medical Supplies | 1357 Selbydon Way, Winter Garden, FL 34787-4652 | 2017-03-07 |
| 1609248749 | Jeffrey Davis | Pharmacist | 461 Western Blvd, Unit #122, Jacksonville, NC 28546 | 2015-10-28 |
| 1194192419 | Jeffrey Davis | Social Worker | 32 Hunting Ridge Farms Rd, Branford, CT 06405-6131 | 2015-08-24 |
| 1093141483 | Jeffrey S Davis | Technician/Technologist | 258 Corporate Dr Ste 213, Madison, WI 53714-2407 | 2013-09-18 |
| 1821433368 | Jeffrey Alan Davis | Obstetrics & Gynecology | 522 Northcrest Drive, Northcrest Center for Women's Health, Springfield, TN 37172 | 2013-05-09 |
| 1770821399 | Jeffrey William Davis | Physical Therapy Assistant | 966a Killian Hill Rd, Lilburn, GA 30047 | 2013-01-17 |
| 1407172240 | Jeffrey Alan Davis | Specialist/Technologist | 300 N. Kilgore Street, Kilgore, TX 75662 | 2010-04-19 |
| 1144413204 | Jeffrey William Davis | Social Worker | 216 N Pratt Ave, Carson City, NV 89701-4722 | 2007-08-22 |
| 1689881385 | Jeffrey M Davis | Chiropractor | 52 Heritage Ct., Woodcliff Lake, NJ 07677 | 2007-05-16 |
| 1760507727 | Jeffrey Todd Davis | Specialist/Technologist | #1 Bobcat Lane, Hallsville, TX 75650-0810 | 2007-03-20 |
| Street Address |
500 1ST AVE |
| City | PORTOLA |
| State | CA |
| Zip Code | 96122-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600920 | Eastern Plumas Health Care District | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-23 |
| 1578075727 | Patricia Foley | Marriage & Family Therapist | 500 1st Ave, Portola, CA 96122-9406 | 2017-10-27 |
| 1780881490 | Lino A. Dial | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2007-06-27 |
| 1396705067 | Eastern Plumas Health Care | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2006-03-25 |
| 1215996699 | Lovsho Phen | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2006-03-22 |
| 1760467443 | Charles G. Cox | Internal Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-12-14 |
| 1316945249 | Paul Swanson | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-13 |
| 1437157914 | Kenneth Robinson | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-08 |
| 1811994569 | Mark Boettger | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-07 |
| 1639176308 | Chris Burkhart | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282810 | County of Plumas | Clinic/Center | 280 W. Sierra Street, Portola, CA 96122 | 2018-04-16 |
| 1033262548 | Sands Travelers Pt, Inc. | Specialist | 72795 S Delleker, Portola, CA 96122 | 2007-01-19 |
| 1326535352 | County of Plumas | Clinic/Center | 372 Main Street, Chester, CA 96122 | 2018-04-16 |
| 1467617332 | Richard D Hungerford | Chiropractor | 76466 Meadow Way, Portola, CA 96122-5100 | 2008-07-21 |
| 1114079035 | Richard Gepford | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-01-18 |
| 1891997037 | Jamie P Willmore | Physical Therapist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-06-01 |
| 1750416186 | Jeanne Kessler | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-02-23 |
| 1376785121 | Michael Scott Trenner | Respiratory Therapist, Registered | 545 Fourth St, Portola, CA 96122-7601 | 2009-03-25 |
| 1962688572 | Jeanne M. Harper | Occupational Therapist | 7332 Lake Davis Rd, Portola, CA 96122-8012 | 2008-01-14 |
| 1750481594 | Mario G. Garibotti | Dentist | 145 N Pine St, Portola, CA 96122-8415 | 2006-09-22 |
| Find all providers in zip 96122 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945249 | Paul Swanson | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-13 |
| 1437157914 | Kenneth Robinson | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-08 |
| 1811994569 | Mark Boettger | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-07 |
| 1639176308 | Chris Burkhart | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-07 |
| 1114925898 | Charles Kaplove | Emergency Medicine | 500 1st Ave, Portola, CA 96122-9406 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1356959266 | Rgx Medical | Emergency Medicine | 1050 E Cypress Ave, Burbank, CA 91501-1310 | 2020-07-16 |
| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
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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.