AUDREY J. DAVIS (NPI# 1568540037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568540037 |
| Entity Type | Individual |
| Full Name | AUDREY J. DAVIS |
| Credential | M.D. |
| Practice Address |
8115 Redlands St #108 Playa Del Rey CA 90293-8773 |
| Practice Telephone | 3108210163 |
| Practice Fax Number | 3108210181 |
| Mailing Telephone | 3108210163 |
| Mailing Fax Number | 3108210181 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
G79917 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G799170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093371338 | Audrey Davis | Developmental Therapist | 528 E 46th Pl Apt 1, Chicago, IL 60653-4206 | 2019-05-13 |
| 1861918294 | Audrey Davis | Behavioral Analyst | 2025 E Noble Ave # B, Visalia, CA 93292-1520 | 2017-08-17 |
| 1912529678 | Audrey Davis | Pharmacist | 1405 N Highland Ave, Jackson, TN 38301-3403 | 2020-05-15 |
| 1255844692 | Audrey R. Davis | Social Worker | 801 N Larkin Ave, Joliet, IL 60435-3441 | 2017-11-08 |
| 1073047783 | Audrey Davis | Social Worker | 354 Waverly St, Framingham, MA 01702-7079 | 2017-04-19 |
| 1962952069 | Audrey Z Davis | Counselor | 20079 Stone Oak Pkwy, Suite 1275, San Antonio, TX 78258-6942 | 2016-10-12 |
| 1467686220 | Audrey Hopkins Davis | Occupational Therapist | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-05-08 |
| 1063540292 | Audrey L. Davis | Registered Nurse | 1631 E 2nd St Ste D, Austin, TX 78702-4491 | 2007-03-01 |
| Street Address |
8115 REDLANDS ST #108 |
| City | PLAYA DEL REY |
| State | CA |
| Zip Code | 90293-8773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1245680271 | Ryan Cheung | Dentist | 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 | 2016-06-21 |
| 1992166912 | Laquicha Westervelt | Nurse Practitioner | 8700 Pershing Drive, 4209, Playa Del Rey, CA 90293 | 2016-03-18 |
| 1447320338 | Shahrzad Zarrinnam | Dentist | 8035 W. Manchester Ave. Ste. B, Playa Del Rey, CA 90293 | 2006-11-08 |
| 1134213770 | Pooneh Soltani | Dentist | 5901 E. 7th Street, Long Beach, CA 90293 | 2006-10-03 |
| 1447241575 | Dennis P Waldman Dds Inc | Dentist | 7740 W Manchester Ave, Suite 201, Playa Del Rey, CA 90293-6400 | 2005-10-28 |
| 1356744866 | Dennis Waldman | Dentist | 7740 W Manchester Ave, Suite 201, Playa Del Rey, CA 90293-6400 | 2014-09-29 |
| 1073637187 | Courtney Hatsuye Yoshikawa | Dentist | 7740 W Manchester Ave, Suite 108, Playa Del Rey, CA 90293-6400 | 2007-03-16 |
| 1356599534 | George P Gleckler | Marriage & Family Therapist | 8040 W Manchester Ave # A316, Playa Del Rey, CA 90293-7100 | 2008-08-30 |
| 1245437250 | David Chien | Nuclear Medicine | 8040 W Manchester Ave #311, Playa Del Rey, CA 90293-7104 | 2007-07-02 |
| Find all providers in zip 90293 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316695 | Neonatal Hospitalist Group, Inc | Pediatrics | 501 S Buena Vista St Nicu, Burbank, CA 91505-4809 | 2019-10-01 |
| 1619418936 | Natalie Hoi-man Chan | Pediatrics | 2516 Stockton Blvd Fl 2, Sacramento, CA 95817-2208 | 2017-03-20 |
| 1427502186 | George Francis Tidmarsh | Pediatrics | 10182 Telesis Ct, San Diego, CA 92121-4760 | 2016-08-11 |
| 1477904530 | Lida Irene Zeinali | Pediatrics | 2315 Stockton Blvd # 5, Sacramento, CA 95817-2201 | 2016-06-29 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1871921718 | Mirin Hemasilpin | Pediatrics | 22554 Ventura Blvd Ste 117, Woodland Hills, CA 91364-1436 | 2013-10-30 |
| 1588937353 | Jeffrey Joseph Pomerance | Pediatrics | 351 W Northridge Ave, Glendora, CA 91741-2036 | 2012-02-09 |
| 1447549225 | Jimmy Thuan Nguyen | Pediatrics | 5621 W Barbette Ave, Santa Ana, CA 92704-1015 | 2011-04-01 |
| 1699085134 | Rosemary Leake | Pediatrics | 2 Crest Rd W, Rolling Hills, CA 90274-5003 | 2010-10-18 |
| 1811200124 | Katrina Tan Ibonia | Pediatrics | 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
| City | PLAYA DEL REY |
| Zip Code | 90293 |
Please comment or provide details below to improve the information on AUDREY J. 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.