Individual provider Active NPI

Josh-Shua Davis, BA

  • Health & Wellness Coach
  • Upland, CA
National Provider Identifier
1164314092
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
8AB407ED0D Issued in CA
Practice address
1126 W Foothill Blvd Ste 250
Upland, CA 91786-3786
Phone
(909) 982-8641
NPI assigned
Jul 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 8AB407ED0D CA Primary

Addresses

Primary practice location

1126 W Foothill Blvd Ste 250
Upland, CA 91786-3786

Mailing address

1126 W Foothill Blvd Ste 250
Upland, CA 91786-3786
Phone (909) 982-8641

Other practice location 1

9550 Fremont Ave Apt L8
Montclair, CA 91763-2318
Phone (404) 729-7237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
8AB407ED0DCAMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Out West End CurrentSince Jul 22, 2025 Accepting new patients

Locations

1126 W Foothill Blvd
Ste 250
Upland, CA 91786
Phone (909) 982-8641

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1164314092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 W FOOTHILL BLVD STE 250",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863786",
            "telephone_number": "909-982-8641",
            "fax_number": "909-982-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W FOOTHILL BLVD STE 250",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863786",
            "telephone_number": "909-982-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9550 Fremont Ave Apt L8",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632318",
            "country_code": "US",
            "telephone_number": "404-729-7237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSH-SHUA",
        "name_prefix": "Mr.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "8AB407ED0D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.