Individual provider Active NPI

Christopher J Davis, PA

  • Surgical Physician Assistant
  • Palo Alto, CA
National Provider Identifier
1184906695
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA21747 Issued in CA
Practice address
795 El Camino Real
Palo Alto, CA 94301-2302
Phone
(650) 321-4121
NPI assigned
Sep 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA213714 OR
Physician Assistant 363A00000X PA61013600 WA
Physician Assistant 363A00000X PA-2254 ID
Surgical Physician Assistant 363AS0400X PA21747 CA Primary

Addresses

Primary practice location

795 El Camino Real
Palo Alto, CA 94301-2302

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other practice location 1

212 San Jose St Ste 301
Salinas, CA 93901-3928
Phone (831) 759-3289

Other practice location 2

2003 Kootenai Health Way Ste 300
Coeur D Alene, ID 83814-6051
Phone (208) 625-4120

Other practice location 3

200 NE Mother Joseph Pl
Vancouver, WA 98664-3299
Phone (360) 514-6300

Other practice location 4

3640 NW Samaritan Dr Ste 120
Corvallis, OR 97330-3738
Phone (541) 768-5223

Other identifiers 1

IdentifierTypeStateIssuer
PA21747OtherCAPA LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cdavis331213@samhealth.direct-ci.com
Direct Messaging Address cdavis663421@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, ID, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110928000317 CA Practitioner - Physician Assistant 1254502040 Reassigns benefits to 1 organization
I20200123001446 WA Practitioner - Physician Assistant 1254502040 Reassigns benefits to 3 organizations
I20220920002245 ID Practitioner - Physician Assistant 1254502040 Reassigns benefits to 2 organizations
I20230308001105 OR Practitioner - Physician Assistant 1254502040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

1033 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 757-2058

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 759-3257

505 E Romie LN
Suite a
Salinas, CA 93901-4031
Phone (831) 755-1701

505 NE 87TH Ave
Vancouver, WA 98664-1965

8821 NE 5TH St
Vancouver, WA 98664-3200
Phone (360) 514-1900

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21747CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Oct 15, 2025 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Oct 15, 2025 Accepting new patients
Multicare Health System CurrentSince Sep 24, 2023 Accepting new patients
Peacehealth CurrentSince Jun 12, 2025 Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Svmhs Clinics CurrentSince May 2, 2023 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Multicare Health System CurrentSince Sep 24, 2023 Accepting new patients
Patrick K Griffith MD PC Past Accepting new patients
Good Samaritan Hospital Corvallis PastSince Aug 4, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Kootenai Health, Inc. Physician Assistant Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

212 San Jose St
Ste 301
Salinas, CA 93901
Phone (831) 759-3289

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

2003 Kootenai Health Way
Ste 300
Coeur D Alene, ID 83814
Phone (208) 625-4120

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

200 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2990

200 NE Mother Joseph Pl
Ste 320
Vancouver, WA 98664
Phone (360) 514-6300

Interoperability endpoints

  • Direct secure messaging: cdavis17445@direct.svmh.com
  • Direct secure messaging: cdavis762597@direct.peacehealth.org
  • Direct secure messaging: cdavis331213@samhealth.direct-ci.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1184906695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 EL CAMINO REAL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012302",
            "telephone_number": "650-321-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 San Jose St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013928",
            "country_code": "US",
            "telephone_number": "831-759-3289",
            "fax_number": "831-758-1565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4120",
            "fax_number": "208-625-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643299",
            "country_code": "US",
            "telephone_number": "360-514-6300",
            "fax_number": "360-514-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 NW Samaritan Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303738",
            "country_code": "US",
            "telephone_number": "541-768-5223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA213714",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61013600",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2254",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA21747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA21747",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavis331213@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3640 NW Samaritan Dr Ste 120",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavis663421@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way Ste 300",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.