Jerry A Davidson (NPI# 1922073998, PAC ID# 3779535786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1922073998 |
| PAC ID by PECOS | 3779535786 |
| Professional Enrollment ID | I20050217000989 |
| Full Name | Jerry A Davidson |
| Address |
2876 Sycamore Dr Suite 101 Simi Valley CA 93065-1550 |
| Phone Number | 8055276424 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050236 | ADVENTIST HEALTH SIMI VALLEY |
| Address | Phone | Organization |
|---|---|---|
| 2876 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1550 | 8055276424 |
| Street Address |
2876 SYCAMORE DR SUITE 101 |
| City | SIMI VALLEY |
| State | CA |
| Zip | 93065-1550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdul W Nawabi | Family Medicine | 2876 Sycamore Dr, Suite 304, Simi Valley, CA 93065-1550 | |
| Jennifer L Lane | Physician Assistant | Adventist Health Physicians Network | 2876 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1550 |
| Jonathan K Kurohara | Family Medicine | Adventist Health Physicians Network | 2876 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1550 |
| Bryan Davidson | Family Medicine | Adventist Health Physicians Network | 2876 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1550 |
| Tim J Mcnicoll | Family Medicine | 2876 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1550 | |
| George Dichter | Internal Medicine | Adventist Health Physicians Network | 2876 Sycamore Dr, Simi Valley, CA 93065-1550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Cohen | Optometry | 1555 Simi Town Ctr Way, Suite 575, Simi Valley, CA 93065-0535 | |
| Daria Younessi | Family Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Paul J Miller | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2985 N Sycamore Dr, Simi Valley Radiation Oncology Medi, Simi Valley, CA 93065-1201 |
| Joyce Norman | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Alan L Kuban | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Qurat-ul-ain A Rashid | Internal Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Jonathan R Nasseri | Hospice/palliative Care | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Trung Bui | Vascular Surgery | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | |
| Ira H Tilles | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Hillary D Runnels | Physician Assistant | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Find all physicians in zip 93065 | |||
| City | SIMI VALLEY |
| Zip Code | 93065 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SIMI VALLEY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jerry A Davidson.
| 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.