Rebecca Maejean Davis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

135557 Issued in CA

Practice address

790 S State St
San Jacinto, CA 92583-4926

Phone

(600) 295-1654

Fax

(951) 602-8195

NPI assigned

Feb 18, 2015

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1164813796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 S STATE ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834926",
            "telephone_number": "600-295-1654",
            "fax_number": "951-602-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 S STATE ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834926",
            "telephone_number": "600-295-1654",
            "fax_number": "951-602-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REBECCA",
        "middle_name": "MAEJEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristopher G. Davies, DPT
• Maria Marcela Davis
• Davita Riverside LLC
• Deanne M Dean
• Decarmo Wholesale LLC
• Deep Muko DDS, Inc.
• Dees Hampton Medical Supplies

• Marriage & Family Therapist in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.