Marcia Jeanne Davis, M.D.
Individual provider Active NPI Family Medicine Physician · Cameron Park, CA
NPI 1023005444 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1023005444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G77530 (CA)
- Practice address
- 4062 Flying C Rd
Cameron Park, CA 95682-9664 - Phone
- (530) 676-8234
- Fax
- (530) 676-0819
- NPI assigned
- Sep 30, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G77530 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Auc, PC | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G77530 | CA | Yes |
Addresses
Primary practice location
4062 Flying C Rd
Cameron Park, CA 95682-9664
Mailing address
4062 Flying C Rd
Cameron Park, CA 95682-9664
Phone (530) 676-8234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G775300 | Medicaid | CA |
Other providers in Cameron Park, CA
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- David Cropp
- Julia Dasen
- David V. Young Chiropractic Inc.
- Danielle Dellner
- Fengying Deng
- Dignity Health Medical Foundation
- Discovery Psychotherapy Center, Inc.
- DNT in Home Care, Inc
All providers in Cameron Park, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.