MR. JUSTIN C DAVIS (NPI# 1861740961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861740961 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN C DAVIS |
| Credential | PA-C |
| Practice Address |
2512 Telegraph Ave Berkeley CA 94704-2918 |
| Mailing Address |
450 Sutter Street Suite 840 San Francisco CA 94108 |
| Practice Telephone | 4154204325 |
| Mailing Telephone | (415) 757-8501 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA22284 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2910 Mcclure St, Oakland, CA 946093505 | 1415757850 | 4157578501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258790 | Justin B Davis | Chiropractor | 52 Heritage Ct, Woodcliff Lake, NJ 07677-8347 | 2020-02-24 |
| 1770984320 | Justin Davis | Occupational Therapist | 1719 Chapel Tree Cir, Brandon, FL 33511-9326 | 2014-09-12 |
| 1811300718 | Justin N Davis | Nurse Anesthetist, Certified Registered | 2610 S Rockingchair Rd, Paragould, AR 72450-9609 | 2014-06-09 |
| 1609189513 | Justin Michael Davis | Chiropractor | 9370 Sw Greenburg Rd # 605, Tigard, OR 97223-5442 | 2010-07-20 |
| 1114240843 | Justin Elijah Davis | Chiropractor | 607w Chandler St, Arlington, MN 55307-2127 | 2010-03-09 |
| 1043853302 | Justin William Davis | Nurse Practitioner | 110 W John Rowan Blvd, Bardstown, KY 40004-2663 | 2019-10-18 |
| 1437714375 | Justin Davis | Student in an Organized Health Care Education/Training Program | 600 Highland Ave, Madison, WI 53792-0001 | 2019-05-06 |
| 1437631330 | Justin Davis | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2018-09-06 |
| 1710464094 | Justin Davis | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-07-19 |
| 1205327525 | Justin W Davis | Surgery | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-05-22 |
| Street Address |
2512 TELEGRAPH AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104846054 | Anthony E Allen | Internal Medicine | 2512 Telegraph Ave, Ste 350, Berkeley, CA 94704-2918 | 2006-07-20 |
| 1982066932 | Skilledmd, Inc. | Skilled Nursing Facility | 2512 Telegraph Ave, Suite 350, Berkeley, CA 94704-2918 | 2016-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023482700 | Diana Kuderna | Physician Assistant | 2223 Mckinley Ave, Berkeley, CA 94703-1717 | 2015-11-18 |
| 1104234731 | Felicia Ma | Physician Assistant | 2344 Sixth Street, Berkeley, CA 94710 | 2014-07-28 |
| 1831501345 | Thanh Trung T Nguyen | Physician Assistant | 2052 Mcgee Ave, Berkeley, CA 94703-1417 | 2014-06-02 |
| 1265791891 | Sun Captain | Physician Assistant | 3031 Telegraph Ave Ste 217, Berkeley, CA 94705-2053 | 2012-05-16 |
| 1508901232 | George Y Pearson | Physician Assistant | 3108 Acton St, Berkeley, CA 94702-2709 | 2007-02-20 |
| 1811480312 | Jennifer Kha | Physician Assistant | 2920 Telegraph Ave, Berkeley, CA 94705-2031 | 2018-06-08 |
| 1538516430 | Kayla Christine Spring | Physician Assistant | 3095 Telegraph Ave, Berkeley, CA 94705-2035 | 2016-05-20 |
| 1801192315 | Sarah Pontell | Physician Assistant | 2915 Telegraph Ave, Suite 101, Berkeley, CA 94705-2060 | 2011-01-31 |
| 1376868497 | Helen O Chodsky | Physician Assistant | 2320 Woolsey St, Suite 202, Berkeley, CA 94705-1973 | 2010-03-31 |
| 1013230440 | Miriam Mona Gaffer Ferreira | Physician Assistant | 2828 Telegraph Ave, Berkeley, CA 94705-1119 | 2010-03-12 |
| Find all providers in BERKELEY | ||||
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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.