Samuel Arias Davis, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW 20838 Issued in CA

Practice address

2000 Embarcadero
Oakland, CA 94606-5334

Phone

(510) 567-8100

NPI assigned

Sep 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Alameda 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alameda County

  • Community/Behavioral Health Agency
  • Hayward, CA
  • NPI 1780716381

  CA

  Medicare reassignment Care Compare group
• County of Alameda

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1881632867
  Care Compare group
• Alameda County

  • Community/Behavioral Health Agency
  • Fremont, CA
  • NPI 1043342728
  NPD
• Alameda County Behavioral Health Care

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1659402303
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1043469844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EMBARCADERO",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065334",
            "telephone_number": "510-567-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EMBARCADERO",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065334",
            "telephone_number": "510-567-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAMUEL",
        "middle_name": "ARIAS",
        "name_prefix": "Mr.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW 20838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Davis
• Purnell G Davis Jr., DDS.
• Raymond L Davis, MD
• Robert R. Davis, MD
• Ruth M Davis, M.A., CPPD
• Sophia Davis, OTR/L
• Stephen Davis, LAC
• Te'Giana Davis
• Tyrone Lee Davis
• Vanessa Katherine Davis, LMFT

• All providers in Oakland, CA
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.