Active NPI
Luther Eugene Davis, PH.D.
- Clinical Psychologist
- Loma Linda, CA
National Provider Identifier
1104062033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22384
- Practice address
- 11201 Benton St # 116a
Loma Linda, CA 92357-3477 - Phone
- (909) 894-7424
- NPI assigned
- Dec 24, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY22384 | CA | Primary |
Addresses
Primary practice location
11201 Benton St # 116a
Loma Linda, CA 92357-3477
Mailing address
149 Hart St
Suite 5
Sheppard Afb, TX 76311-3477
Phone (940) 676-6075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22384 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1104062033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HART ST",
"address_2": "SUITE 5",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763113477",
"telephone_number": "940-676-6075",
"fax_number": "940-676-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 BENTON ST # 116A",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923573477",
"telephone_number": "909-894-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LUTHER",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-24",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.