Organization Active NPI

Gabrielle B Davis MD, Inc

Doing business as Gabrielle B. Davis, MD Plastic Surgery

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1033772850
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
GABRIELLE B DAVIS MD, INC
Doing business as
Gabrielle B. Davis, MD Plastic Surgery
Practice address
9400 Brighton Way Ste 405
Beverly Hills, CA 90210-4711
Phone
(310) 614-5898
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gabrielle Belinda Davis, MDNPI 1316170996
Title
Owner- Plastic Surgeon
Phone
(310) 614-5898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

9400 Brighton Way Ste 405
Beverly Hills, CA 90210-4711

Mailing address

450 N Roxbury Dr Ste 400
Beverly Hills, CA 90210-4218
Phone (310) 614-5898

Other practice location 1

8635 W 3rd St Ste 770W
Los Angeles, CA 90048-6101
Phone (310) 967-5612

Other identifiers 2

IdentifierTypeStateIssuer
1316170996OtherCANPI NUMBER OF OWNER OF S- CORP- SINGLE EMPLOYEE CURRENTLY
1316170996OtherCANPI NUMBER OF OWNER

Other names 1

  • Gabrielle B. Davis, MD Plastic Surgery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@gbdavisplasticsurgery.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723002300 CA Part B Supplier - Clinic/Group Practice 5799011193 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

450 N Roxbury Dr
Ste 400
Beverly Hills, CA 90210
Phone (310) 614-5898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1033772850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104218",
            "telephone_number": "310-614-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY STE 405",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104711",
            "telephone_number": "310-614-5898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8635 W 3rd St Ste 770W",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900486101",
            "country_code": "US",
            "telephone_number": "310-967-5612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GABRIELLE B DAVIS MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "BELINDA",
        "authorized_official_title_or_position": "OWNER- PLASTIC SURGEON",
        "authorized_official_telephone_number": "310-614-5898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER OF OWNER  OF S- CORP- SINGLE EMPLOYEE CURRENTLY",
            "identifier": "1316170996",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER OF OWNER",
            "identifier": "1316170996",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gbdavisplasticsurgery.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9400 Brighton Way Ste 405",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902104711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gabrielle B. Davis, MD Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gabrielle B. Davis, MD Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.