Active NPI
Dana Marie Davis
- Driver
- San Marcos, CA
National Provider Identifier
1043820269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- F1782738
- Practice address
- 132 N Twin Oaks Valley Rd Unit 101
San Marcos, CA 92069-3287 - Phone
- (985) 212-0806
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | F1782738 | CA | Primary |
Addresses
Primary practice location
132 N Twin Oaks Valley Rd Unit 101
San Marcos, CA 92069-3287
Mailing address
450 S Melrose Dr
Vista, CA 92081-6674
Phone (985) 212-0806
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1782738 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent City Care Transportation | Current | Accepting new patients | |
| Star Developmental Services, Inc | Current | Accepting new patients |
Locations
450 S Melrose Dr
Vista, CA 92081
Phone (760) 227-2392
Organizations & group practices 2
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.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Vista, CA
- NPI 1598448508
-
- Non-emergency Medical Transport (VAN)
- Vista, CA
- NPI 1962155705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1043820269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 S MELROSE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920816674",
"telephone_number": "985-212-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 N TWIN OAKS VALLEY RD UNIT 101",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693287",
"telephone_number": "985-212-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DANA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "F1782738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.