Active NPI
Konrad Leslie Davis, MD
- Internal Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11614
- Practice address
- 34800 Bob Wilson Dr
Nmcsd, Attn: Medical
San Diego, CA 92134-1098 - Phone
- (619) 532-6460
- Fax
- (619) 532-6299
- NPI assigned
- Feb 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11614 | HI | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
Nmcsd, Attn: Medical
San Diego, CA 92134-1098
Mailing address
34800 Bob Wilson Dr
Nmcsd, Attn: Medical
San Diego, CA 92134-1098
Phone (619) 532-6460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Southern California Keck School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Chest Medicine and Critical Care Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients |
Locations
354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
Interoperability endpoints
- kdavis19221@scrippshlth.medalliesdirect.net
Organizations & group practices 8
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.
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Pulmonary Disease Physician
- San Diego, CA
- NPI 1841292521
Internal Medicine
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
-
- Internal Medicine Physician
- La Jolla, CA
- NPI 1538297726
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1396813861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285605691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"address_2": "NMCSD, ATTN: MEDICAL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "619-532-6460",
"fax_number": "619-532-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"address_2": "NMCSD, ATTN: MEDICAL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "619-532-6460",
"fax_number": "619-532-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KONRAD",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "11614",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.