Robert Davis

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 222271 Issued in CA

Practice address

821 1/2 W Balboa Blvd
Newport Beach, CA 92661-1107

Phone

(714) 310-8725

NPI assigned

Aug 13, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1114393105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 E SUMMER CREEK LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072843",
            "telephone_number": "714-310-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 1/2 W BALBOA BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611107",
            "telephone_number": "714-310-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 222271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenton Gregory Davis, MD
• David Mark Davis, MD
• Marilyn J Davis, PH.D
• Melissa Davis
• Nicholas C Davis, D.D.S.
• Christine De Anda
• Don F. De Francisco, M.D.
• Jennifer Ann De Francisco, L.C.S.W.
• Czarina Pangilinan De Jesus, LMFT
• Kimberly Anne De Jong, F.N.P.

• Licensed Vocational Nurse in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.