Richard Leslie Davies, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G18130 Issued in CA

Practice address

7023 Montna Dr
Paradise, CA 95969-2412

Phone

(530) 877-1394

NPI assigned

Jan 2, 2012

Last updated

Jan 2, 2012By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North State Radiology Medical Group Inc

  dba North Valley Advanced Imaging

  • Diagnostic Radiology Physician
  • Chico, CA
  • NPI 1699927988
  NPD (past)

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1154691673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 MONTNA DR",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959692412",
            "telephone_number": "530-877-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 MONTNA DR",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959692412",
            "telephone_number": "530-877-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "RICHARD",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G18130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Gajda MD a Professional Corporation
• David J Gajda MD a Professional Corporation (Eye Life Institute)
• David J Gajda, MD, a Professional Corporation (Eye Life Institue ASC)
• David J Gajda, MD, a Professional Corporation
• David W. Gillett D.M.D., Inc.
• Diane Burke Davis, LCSW
• Richard Michael Day, LCSW
• Etresia Francisca De Bruin
• Xochitl Lenz De la Cruz, PA
• Heather Deberry

• General Practice Physician in Paradise, CA
• Providers in Paradise, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.