Active NPI
Graham Davis, MD
- Surgery Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A187421
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-3475 - Phone
- (610) 246-8040
- NPI assigned
- Apr 2, 2018
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A187421 | CA | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-3475
Mailing address
34800 Bob Wilson Dr Unit 1601
San Diego, CA 92134-1098
Phone (619) 532-6418
Other practice location 1
3985 Cummings Rd Ste 4
San Diego, CA 92136-3475
Phone (610) 246-8040
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Drexel University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801
3 Marcela Dr
Suite D
Willits, CA 95490-5769
Phone (707) 459-4220
350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A187421 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Willits Hospital Inc. | Current | Accepting new patients | |
| Surgical Affiliates of California | Surgery | Current | Accepting new patients |
| Sonora Community Hospital | Past | Accepting new patients |
Locations
245 H St
Ste 1
Los Banos, CA 93635
Phone (209) 710-8774
375 Terracina Blvd
#B
Redlands, CA 92373
Phone (909) 279-0070
375 Terracina Blvd
Ste B
Redlands, CA 92373
Phone (909) 279-0070
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792
193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001
Organizations & group practices 8
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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
-
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
-
- Surgery Physician
- Los Banos, CA
- NPI 1932440781
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
-
- Community/Retail Pharmacy
- Willits, CA
- NPI 1629432968
-
- Family Medicine Physician
- Groveland, CA
- NPI 1356332274
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752969600000",
"number": "1114423811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR UNIT 1601",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "619-532-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921343475",
"telephone_number": "610-246-8040"
}
],
"practiceLocations": [
{
"address_1": "3985 Cummings Rd Ste 4",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921363475",
"country_code": "US",
"telephone_number": "610-246-8040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "GRAHAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2025-07-20",
"certification_date": "2025-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A187421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.