CALEB ALEXANDER DAVIS (NPI# 1750906061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750906061 |
Entity Type | Individual |
Full Name | CALEB ALEXANDER DAVIS |
Practice Address |
2421 Foothill Blvd Apt 17g La Verne CA 91750-3036 |
Practice Telephone | 9167490882 |
Mailing Telephone | 9167490882 |
Enumeration Date | 2020-06-11 |
Last Update Date | 2020-10-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95015643 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366079865 | Caleb Davis | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms -35500, Temple, TX 76508-0001 | 2020-03-25 |
1053965780 | Caleb Davis | Nurse Practitioner | 18316 Murdock Cir Unit 108, Port Charlotte, FL 33948-1029 | 2019-07-31 |
1598297657 | Caleb Davis | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, 1st Floor, Acb, Louisville, KY 40202-1622 | 2017-03-29 |
1528416427 | Caleb Ross Davis | Podiatrist | 1711 27th St Ste 102, Portsmouth, OH 45662-2657 | 2016-06-01 |
1851761159 | Caleb Davis | Occupational Therapy Assistant | 7819 Conser Pl, Overland Park, KS 66204-2820 | 2015-09-29 |
1689061251 | Caleb Davis | Counselor | 515 Ne Glen Oak Ave, Suite 101, Peoria, IL 61603-3136 | 2015-04-22 |
1205256583 | Caleb Davis | Behavioral Analyst | 147 E Olive Ave, Monrovia, CA 91016-3407 | 2014-04-24 |
1982832861 | Caleb M Davis | Emergency Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2009-06-30 |
Street Address |
2421 FOOTHILL BLVD APT 17G |
City | LA VERNE |
State | CA |
Zip Code | 91750-3036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
Find all providers in zip 91750 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
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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.