Raffaele A. Davidovich, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A29865 Issued in CA

Practice address

1236 N. Magnolia Ave.
Anaheim, CA 92801-2607

Phone

(714) 995-1000

Fax

(714) 828-7926

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Talbert Medical Group, P.C.

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1528069176
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1174528657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 N. MAGNOLIA AVE.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "310-450-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 N. MAGNOLIA AVE.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012607",
            "telephone_number": "714-995-1000",
            "fax_number": "714-828-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVICH",
        "first_name": "RAFFAELE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A29865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL #",
            "identifier": "00A298650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Hunglan DO MD Family Medicine and Hea
• David Nejat-Bina M.D.,Inc.
• David S Kramer MD a Professional Corporation
• David S Kramer MD a Professional Corporation
• David Shek M.D.,Inc.
• Sandra Lee Davidson
• Ashlyn N Davies, PHARM.D,
• Nicholas Geoffrey Davies
• Eugene Looper Davila
• Davis Healthcare Management Group

• Allergy & Immunology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.