Leslie Annette Davis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

16993 Issued in CA

Practice address

3751 Katella Ave
Los Alamitos, CA 90720-3113

Phone

(562) 246-6822

Fax

(562) 330-2402

NPI assigned

Nov 21, 2006

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: leslie.davis.p7@direct.monarchhealthcare.nextgenshare.com

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1144395799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11947 VALLEY VIEW ST UNIT 5671",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928466523",
            "telephone_number": "562-246-6822",
            "fax_number": "562-330-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203113",
            "telephone_number": "562-246-6822",
            "fax_number": "562-330-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LESLIE",
        "middle_name": "ANNETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "16993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camryn Davidson
• John Randolph Davies, PT
• Allyson Pace Davis, M.D.
• Angela Davis
• Daniel Davis, PA-C
• Scott Davis, D.C.
• James Edward Day Sr.
• Ana Maria Cajigas De Jesus
• Jose De Souza Jr., MD
• Deborh Mather (Crossroads Psychotherapy Group)

• Physician Assistant in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.

Verify at the official NPI Registry.