Individual provider Active NPI

Jason Aaron Davis, M.D.

  • Orthopaedic Trauma Physician
  • Lynwood, CA
National Provider Identifier
1053600940
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
A116229 Issued in CA
Practice address
3828 E Imperial Hwy Ste 300
Lynwood, CA 90262
Phone
(310) 900-4788
Fax
(310) 900-2704
NPI assigned
Mar 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A116229 CA
Orthopaedic Trauma Physician 207XX0801X A116229 CA Primary

Addresses

Primary practice location

3828 E Imperial Hwy Ste 300
Lynwood, CA 90262

Mailing address

17525 Ventura Blvd Ste 210
Encino, CA 91316-5111
Phone (818) 986-2861

Other practice location 1

604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205
Phone (559) 320-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000977 CA Practitioner - Orthopedic Surgery 5193984433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arizona College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

23560 Crenshaw Blvd
Suite 102
Torrance, CA 90505-5233
Phone (310) 784-2355

Hospital & facility affiliations

  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
David Friedberg, MD Inc. Orthopaedic Trauma CurrentSince May 1, 2022 Accepting new patients
Torrance Health Association Inc CurrentSince Nov 1, 2022 Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

17525 Ventura Blvd
Ste 210
Encino, CA 91316
Phone (818) 501-8743

3628 E Imperial Hwy
Ste 300
Lynwood, CA 90262
Phone (310) 406-3900

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23560 Crenshaw Blvd
Ste 102
Torrance, CA 90505
Phone (310) 784-2355

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1053600940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD STE 210",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165111",
            "telephone_number": "818-986-2861",
            "fax_number": "818-638-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 E IMPERIAL HWY STE 300",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-900-4788",
            "fax_number": "310-900-2704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 N Magnolia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936119205",
            "country_code": "US",
            "telephone_number": "559-320-0531",
            "fax_number": "559-320-0539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JASON",
        "middle_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A116229",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A116229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.