Roman Davydov, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

228367 Issued in CA

Practice address

24631 Spadra LN
Mission Viejo, CA 92691-5222

Phone

(949) 891-3008

NPI assigned

Dec 27, 2025

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": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1134085749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24631 SPADRA LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915222",
            "telephone_number": "949-891-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24631 SPADRA LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915222",
            "telephone_number": "949-891-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVYDOV",
        "first_name": "ROMAN",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "228367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davis Group Medical Consultants, Inc.
• Brad Christopher Davis
• Linda Marlene Bolling Davis, M.D.
• Lisa Davis, R.N.
• Stephanie Lynne Davis, PH.D.
• Ronnie Nathan Dawood, M.D.
• Samantha Day, PT, DPT
• Aaron Larry De la Cruz
• Jeffry De la Cruz, LMFT
• John Dennis De Lorme, D.D.S.

• Licensed Vocational Nurse in Mission Viejo, CA
• Providers in Mission Viejo, 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 Dec 27, 2025; 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.