Active NPI
William Davis MD Inc
- Radiologic Technologist
- El Cajon, CA
National Provider Identifier
1134496185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- R052467
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 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
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Radiologic Technologist
- La Mesa, CA
- NPI 1669665592
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- La Mesa, CA
- NPI 1316939978
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.