Active NPI
Josh-Shua Davis, BA
- Health & Wellness Coach
- Upland, CA
National Provider Identifier
1164314092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 8AB407ED0D
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8AB407ED0D | CA | MD | Health & Wellness Coach |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Out West End | Current | 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.
-
- Community/Behavioral Health Agency
- Jurupa Valley, CA
- NPI 1215256300
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.