Active NPI
Karen S Davis, MD
- General Practice Physician
- Cloverdale, CA
National Provider Identifier
1013957349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G33607
- Practice address
- 1076 Palomino Rd
Cloverdale, CA 95425-4311 - Phone
- (707) 894-4188
- NPI assigned
- Jun 7, 2006
- Last updated
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G33607 | CA | Primary |
Addresses
Primary practice location
1076 Palomino Rd
Cloverdale, CA 95425-4311
Mailing address
1076 Palomino Rd
Cloverdale, CA 95425-4311
Phone (707) 894-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G33607 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1013957349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 PALOMINO RD",
"city": "CLOVERDALE",
"state": "CA",
"postal_code": "954254311",
"telephone_number": "707-894-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 PALOMINO RD",
"city": "CLOVERDALE",
"state": "CA",
"postal_code": "954254311",
"telephone_number": "707-894-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KAREN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G33607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cloverdale, CA
- Coppertower Family Medical Center (alexander Valley healthcare)
- Coppertower Family Medical Center (Alexander Valley Healthcare)
- County of Sonoma
- Toby Daly, LAC
- Amu Xenaphon Darya, AGPCNP, CNS
- Department of Health Services
- Department of Health Services - Mental Health
- Maria Dilley, MS, CCC-SLP
- Audrey Duong, DDS
- Eileen Roberts PH D Inc (Brain Builders Neurotherapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.