BRENT DAVIS (NPI# 1396812103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396812103 |
| Entity Type | Individual |
| Full Name | BRENT DAVIS |
| Credential | MD |
| Practice Address |
441 N Lakeview Ave Anaheim CA 92807-3028 |
| Practice Telephone | 8889882800 |
| Mailing Telephone | 8889882800 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | A62762 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
| 1366688681 | Brent Davis | Chiropractor | 550 Rosedale Ave, Nashville, TN 37211-2048 | 2008-12-17 |
| 1619009859 | Brent Wade Davis | Family Medicine | 315 W. 9 Street, Weleetka, OK 74880-0337 | 2007-03-12 |
| 1083710149 | Brent L Davis | Preventive Medicine | 810 W Braker Ln, Austin, TX 78758-4111 | 2006-09-16 |
| 1073578696 | Brent Alan Davis | Orthopaedic Surgery | 75 Medical Park Ln, Suite B, Murphy, NC 28906-6667 | 2006-04-18 |
| 1972111870 | Brent P Davis | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| 1144796079 | Brent Davis | Physical Therapist | 4500 E Sam Houston Pkwy S Ste 215, Pasadena, TX 77505-3957 | 2018-10-18 |
| 1215423926 | Brent Davis | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2018-07-05 |
| 1548784317 | Brent Joseph Davis | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2017-08-02 |
| 1992142053 | Brent Alan Davis | Nurse Anesthetist, Certified Registered | 1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 | 2013-05-30 |
| Street Address |
441 N LAKEVIEW AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911551 | Jennifer Linzmeyer | Pediatrics | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2005-06-13 |
| 1255609418 | Sheila Elizabeth Ford | Pediatrics | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2011-12-02 |
| 1982909222 | Sarah Elisabeth Gomez | Nurse Practitioner | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2011-01-18 |
| 1265664635 | Beatrix M Schieffer | Psychologist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-08-18 |
| 1598992307 | Minhee Song | Physical Therapist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-06-18 |
| 1992949333 | Carol King | Nurse Practitioner | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-04-29 |
| 1144463951 | Maria Eugenia Campi | Speech-Language Pathologist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-04-08 |
| 1356587547 | Jose Pena | Physical Therapy Assistant | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-12-18 |
| 1467607929 | Grant Masaru Yasui | Anesthesiology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-11-25 |
| 1255583696 | Claudio Cassinelli | Social Worker | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205966199 | James P. Crossan | Neuromusculoskeletal Medicine & OMM | 1313 S Harbor Blvd, Disneyland Resort, Cast Health, Anaheim, CA 92802-2309 | 2007-03-07 |
| 1174703722 | Jeffrey Frank Sodl | Neuromusculoskeletal Medicine & OMM | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-11-13 |
| 1124167812 | Stefan Fornalski | Neuromusculoskeletal Medicine & OMM | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-02-06 |
| 1316095375 | Kamran Aurang | Neuromusculoskeletal Medicine & OMM | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1518015346 | Joseph A. Tabet | Neuromusculoskeletal Medicine & OMM | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1407904287 | Emil Dionysian | Neuromusculoskeletal Medicine & OMM | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1790833622 | Mina Kono | Neuromusculoskeletal Medicine & OMM | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2007-01-08 |
| 1902973837 | Kamil Y. Antonios | Neuromusculoskeletal Medicine & OMM | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1639246655 | Edward H. Yian | Neuromusculoskeletal Medicine & OMM | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1457428328 | Tadashi T. Funahashi | Neuromusculoskeletal Medicine & OMM | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| Find all providers in ANAHEIM | ||||
Please comment or provide details below to improve the information on BRENT 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.