Active NPI
Ronald T. Davis, M.D.
- Radiation Oncology Physician
- San Diego, CA
National Provider Identifier
1184622532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G21783
- Practice address
- 2466 1St Ave
Ste B
San Diego, CA 92101-1408 - Phone
- (619) 230-0400
- Fax
- (619) 325-3688
- NPI assigned
- Jul 11, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G21783 | CA | |
| Radiation Oncology Physician | 2085R0001X | G21783 | CA | Primary |
Addresses
Primary practice location
2466 1St Ave
Ste B
San Diego, CA 92101-1408
Mailing address
PO Box 33865
San Diego, CA 92163-3865
Phone (619) 220-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G21783 | Other | CA | CALIFORNIA LICENSE |
| 00G217830 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palomar Health | Past | Accepting new patients | |
| The Radiation Medical Group Inc | Specialist | Past | Accepting new patients |
| Scripps Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- Specialist
- Encinitas, CA
- NPI 1174653315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1184622532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33865",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633865",
"telephone_number": "619-220-4100",
"fax_number": "619-270-3423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2466 1ST AVE",
"address_2": "STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011408",
"telephone_number": "619-230-0400",
"fax_number": "619-325-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RONALD",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G21783",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G21783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "G21783",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G217830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.