Lydia Michele Davis

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

3289 Sweetwater Springs Blvd Apt 11
Spring Valley, CA 91978-1061

Phone

(619) 735-5216

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1063003986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 SWEETWATER SPRINGS BLVD APT 11",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781061",
            "telephone_number": "619-735-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 SWEETWATER SPRINGS BLVD APT 11",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781061",
            "telephone_number": "619-735-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LYDIA",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "C4564424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rowena San Juan Dacanay-Herman, N.P.
• Mitsuko Dahlin
• Dustin Michael Dale
• David Toma DDS, Inc
• David Toma DDS, Inc. (Dental Anesthesia Clinic of Massachusetts)
• Madison Seiko Day-Robinson
• Deason Inc (East County Water & Sport Physical Therapy)
• Mary Therese Deason, PT
• Jessica Ofelia Del Toro, ASW, PPSC-SSW
• Delta Dental Smile

• Attendant Care Provider in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.