SUCCURA MALICCA DAVIS (NPI# 1467962746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467962746 |
| Entity Type | Individual |
| Full Name | SUCCURA MALICCA DAVIS |
| Credential | FNP |
| Practice Address |
815 Dr Martin Luther King Jr Blvd Bakersfield CA 93307-1365 |
| Practice Telephone | 6613253905 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
769892 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95008073 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
815 DR MARTIN LUTHER KING JR BLVD |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93307-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494338 | Clinica Sierra Vista | Clinic/Center | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2005-08-13 |
| 1043838428 | Kenia Cardona Velasco | Dietitian, Registered | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2020-07-11 |
| 1437689502 | Ana Cristina Rivera Gonzalez | Marriage & Family Therapist | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2017-06-12 |
| 1861938441 | Carrie Woods | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2017-01-06 |
| 1629525597 | Devaughn Bell | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307 | 2016-09-08 |
| 1376948984 | Elizabeth Reyes | Dietitian, Registered | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2014-10-24 |
| 1093129702 | Jot Preet Singh Sahi | General Practice | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2014-06-20 |
| 1689095416 | Lakera Duncombe-jones | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, Bakersfield, CA 93307-1365 | 2013-12-20 |
| 1649560491 | Daniel B Jurich | Internal Medicine | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2011-04-13 |
| 1679703557 | Laura Louise Collins | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2009-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936183 | New Leaf Pharmacy Inc | Pharmacy | 2303 S Union Ave Unit E8, Bakersfield, CA 93307 | 2019-01-29 |
| 1740744986 | Dora Robledo | Case Manager/Care Coordinator | 1600 E Belle Terrace Avenue, Bakersfield, CA 93307 | 2019-01-22 |
| 1083107890 | Sabrina Johnson | Case Manager/Care Coordinator | 1600 E Belle Terrance, Bakersfield, CA 93307 | 2018-06-07 |
| 1346799145 | Amandeep Singh | Physical Therapist | 1718 Panama Ln, Appt 904, Bakersfield, CA 93307 | 2016-09-22 |
| 1124478821 | Rafael Gomez | Case Manager/Care Coordinator | 1600 E Belle Terrace, Bakersfield, CA 93307 | 2016-06-14 |
| 1669820098 | Corinne Campbell | Licensed Vocational Nurse | 1010 1/2 South Union, Bakersfield, CA 93307 | 2016-05-26 |
| 1174992523 | Sean Battle Sr. | Case Manager/Care Coordinator | 325 E. Fairview Rd, Bakersfield, CA 93307 | 2015-09-16 |
| 1447634787 | Christina Elizabeth Cortez | Case Manager/Care Coordinator | 1600 E. Belle Terrace, Bakersfield, CA 93307 | 2015-07-16 |
| 1043693252 | Ramon Audelo Jr. | Social Worker | 800 Ming Ave, Bakersfield, CA 93307 | 2015-07-07 |
| 1023415882 | Way'ztown Inc | Non-emergency Medical Transport (VAN) | 1326 E California Ave, Bakersfield, CA 93307 | 2014-11-21 |
| Find all providers in zip 93307 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456835 | Erin Marie Eddy | Nurse Practitioner | 10104 Glenn St, Bakersfield, CA 93312-2763 | 2020-08-10 |
| 1306454640 | Amandeep Dhillon | Nurse Practitioner | 14909 Brockbank Ave, Bakersfield, CA 93314-4307 | 2020-07-22 |
| 1962022160 | Laura Ellen Levingston | Nurse Practitioner | 2108 Dean Ave, Bakersfield, CA 93312-2728 | 2020-04-17 |
| 1386278927 | Durish Ann Adan Dorotheo | Nurse Practitioner | 8307 Brimhall Rd Ste 1702, Bakersfield, CA 93312-4343 | 2020-02-22 |
| 1336772615 | April Elizabeth Cooper | Nurse Practitioner | 1500 Haggin Oaks Blvd Ste 100, Bakersfield, CA 93311-1333 | 2020-02-14 |
| 1831739226 | Christine Crisostomo | Nurse Practitioner | 500 Windsor Park Dr, Bakersfield, CA 93311-3586 | 2020-01-14 |
| 1215586870 | Marissa Perez Hernandez | Nurse Practitioner | 4000 Physicians Blvd Ste 211, Bakersfield, CA 93301-1284 | 2019-09-06 |
| 1053969212 | Oliver Ranin | Nurse Practitioner | 9709 Swansboro Way, Bakersfield, CA 93314-8081 | 2019-08-30 |
| 1871155481 | Kathlene Mateo Hilario | Nurse Practitioner | 5055 California Ave Ste 340, Bakersfield, CA 93309-1993 | 2019-07-03 |
| 1538729074 | Dipali Desai | Nurse Practitioner | 11719 Christmas Rose Dr, Bakersfield, CA 93311-2187 | 2019-06-17 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93307 |
Please comment or provide details below to improve the information on SUCCURA MALICCA 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.