David W Davidson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT91243 Issued in CA

Practice address

2431 W March LN
Suite 210
Stockton, CA 95207-8211

Phone

(209) 898-9859

NPI assigned

Feb 18, 2016

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

State licenses

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1184083115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 VINTAGE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192510",
            "telephone_number": "209-898-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W MARCH LN",
            "address_2": "SUITE 210",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078211",
            "telephone_number": "209-898-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "DAVID",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT91243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquita Ann Davenport
• Renee Davenport
• Todd Eldon Davenport, DPT OCS
• David C. Harris, M.D., Inc.
• David Loth
• Pamela Marie Davidson
• Jillian Davies
• Mitchell Samuel Davies
• Davinder S. Manak DDS. Incorporation
• Catherine Davis, NP

• Marriage & Family Therapist in Stockton, CA
• Providers in Stockton, 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 Feb 18, 2016; 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.