Organization Active NPI

William Davis MD Inc

  • Radiologic Technologist
  • El Cajon, CA
National Provider Identifier
1134496185
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
R052467 Issued in CA
Legal business name
WILLIAM DAVIS MD INC
Practice address
1663 Greenfield Dr
El Cajon, CA 92021-3520
Phone
(619) 401-7913
Fax
(619) 401-7916
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Fred E Sufficool
Title
Manager
Phone
(619) 401-7913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X R052467 CA Primary

Addresses

Primary practice location

1663 Greenfield Dr
El Cajon, CA 92021-3520

Mailing address

1663 Greenfield Dr
El Cajon, CA 92021-3520
Phone (619) 401-7913

Other names 1

  • MOBILE PHYSICIAN SERVICES Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1134496185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 GREENFIELD DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213520",
            "telephone_number": "619-401-7913",
            "fax_number": "619-401-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 GREENFIELD DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213520",
            "telephone_number": "619-401-7913",
            "fax_number": "619-401-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DAVIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "SUFFICOOL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-401-7913"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "R052467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBILE PHYSICIAN SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.