Individual provider Active NPI

Jon Robert Davids, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1124080593
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
G68422 Issued in CA
Practice address
2425 Stockton Blvd.
Sacramento, CA 95817
Phone
(916) 453-2049
Fax
(916) 453-2202
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X G68422 CA Primary

Addresses

Primary practice location

2425 Stockton Blvd.
Sacramento, CA 95817

Mailing address

2425 Stockton Blvd.
Sacramento, CA 95817
Phone (916) 453-2049

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
I20120118000517 CA Practitioner - Orthopedic Surgery 0143497099 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G68422CAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince May 1, 2014 Accepting new patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery Current Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 1, 2020 Accepting new patients
Regents of the Univ of Ca CurrentSince May 1, 2014 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients

Locations

3850 G St
Merced, CA 95340
Phone (209) 384-6528

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1124080593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 STOCKTON BLVD.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-453-2049",
            "fax_number": "916-453-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 STOCKTON BLVD.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-453-2049",
            "fax_number": "916-453-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDS",
        "first_name": "JON",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CA",
            "license": "G68422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.