Individual provider Active NPI

Paul C Davainis, MD

  • Family Medicine Physician
  • Anderson, CA
National Provider Identifier
1255340568
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G80205 Issued in CA
Practice address
2965 East St
Anderson, CA 96007
Phone
(530) 378-0486
NPI assigned
Aug 5, 2006
Last updated
Jan 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G80205 CA Primary

Addresses

Primary practice location

2965 East St
Anderson, CA 96007

Mailing address

1035 Placer St
Redding, CA 96001-1125
Phone (530) 246-5710

Other practice location 1

1850 Spring Ridge Dr
Susanville, CA 96130-6100
Phone (530) 257-5563

Other identifiers 1

IdentifierTypeStateIssuer
080119610OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000522 CA Practitioner - Emergency MedicinePractitioner - Family Practice 7517996903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5796

2965 E St
Anderson, CA 96007-3481
Phone (530) 378-0486

980 Placer St
Redding, CA 96001-1126
Phone (530) 246-5930

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G80205CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra ER Department Physicians Medical Group Inc. CurrentSince Sep 12, 2016 Accepting new patients
Shasta Community Health Center Current Accepting new patients
Shasta Community Health Center CurrentSince Jul 15, 2014 Accepting new patients
Shasta Community Health Center Family Medicine CurrentSince Jul 15, 2014 Accepting new patients
Mayers Memorial Hospital District CurrentSince Sep 14, 2016 Accepting new patients

Locations

2965 East St
Anderson, CA 96007
Phone (530) 378-0486

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

1035 Placer St
Redding, CA 96001

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

Interoperability endpoints

  • Direct secure messaging: paul.davainis.p1@direct.schc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1255340568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011125",
            "telephone_number": "530-246-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 EAST ST",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "96007",
            "telephone_number": "530-378-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Spring Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Susanville",
            "state": "CA",
            "postal_code": "961306100",
            "country_code": "US",
            "telephone_number": "530-257-5563",
            "fax_number": "530-257-6015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVAINIS",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G80205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080119610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, CA

Sources for this page

Verify at the official NPI Registry.