Active NPI
Jon Robert Davids, M.D.
- Pediatric Orthopaedic Surgery Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- G68422
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G68422 | CA | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Shriners Hospitals for Children | Pediatric Orthopaedic Surgery | Current | Accepting new patients |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | 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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Pediatric Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1679915565
-
- Neurological Surgery Physician
- Sacramento, CA
- NPI 1134112295
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Anesthesiology Physician
- Sacramento, CA
- NPI 1114415361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.