Individual provider Active NPI

Graham Davis, MD

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1114423811
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A187421 Issued in CA
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

Updated by the provider on Jul 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304000679 CA Practitioner - General Surgery 8729509062 Reassigns benefits to 4 organizations

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
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians

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

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187421CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 1, 2025 Accepting new patients
Ukiah Adventist Hospital CurrentSince Feb 20, 2025 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital CurrentSince Jan 29, 2025 Accepting new patients
Sonora Community Hospital CurrentSince Jan 29, 2025 Accepting new patients
Willits Hospital Inc. CurrentSince Feb 20, 2025 Accepting new patients
Surgical Affiliates of California Surgery CurrentSince Jun 1, 2025 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.