Ricardo Davalos (NPI# 1609804749, PAC ID# 1951214709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1609804749 |
PAC ID by PECOS | 1951214709 |
Professional Enrollment ID | I20120223000123 |
Full Name | Ricardo Davalos |
Address |
150 Avenida Cabrillo A San Clemente CA 92672-5595 |
Gender | M |
Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
Graduation Year | 1996 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050603 | SADDLEBACK MEMORIAL MEDICAL CENTER |
050567 | MISSION HOSPITAL REGIONAL MED CENTER |
Address | Phone | Organization |
---|---|---|
150 Avenida Cabrillo A, San Clemente, CA 92672-5595 |
Street Address |
150 AVENIDA CABRILLO A |
City | SAN CLEMENTE |
State | CA |
Zip | 92672-5595 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dorothy V Calabrese | Allergy/immunology | 2449 S El Camino Real, San Clemente, CA 92672-3351 | |
Timothy G Swift | Chiropractic | 3551 Camino Mira Costa, Suite A, San Clemente, CA 92672-3504 | |
David Zachary | Family Medicine | 3553 Camino Mira Costa, A, San Clemente, CA 92672-3512 | |
John Disaia | Plastic and Reconstructive Surgery | 3553 Camino Mira Costa, A, San Clemente, CA 92672-3512 | |
Scott Parrish | Physical Therapy | 3551 Camino Mira Costa, Suite N, San Clemente, CA 92672-3529 | |
Cynthia Costa | Chiropractic | 181 Avenida Vaquero, Suite D, San Clemente, CA 92672-3631 | |
Kevyn K Dean | Physical Therapy | Dean Sports Consultants Physical Therapy | 201 Calle De Los Molinos, San Clemente, CA 92672-3874 |
Robin Warden | Physical Therapy | Dean Sports Consultants Physical Therapy | 201 Calle De Los Molinos, San Clemente, CA 92672-3874 |
Andrea A Roberson | Family Medicine | 105 Avenida De La Estrella, San Clemente, CA 92672-3985 | |
Richard C Roth | Chiropractic | 214 -a Avenida Del Mar, San Clemente, CA 92672-4005 | |
Find all physicians in zip 92672 |
City | SAN CLEMENTE |
Zip Code | 92672 |
Specialty | FAMILY MEDICINE |
City + Specialty | SAN CLEMENTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ricardo Davalos.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.