Active NPI
Louise Cooley Davis, M.D.
- Ophthalmology Physician
- Beverly Hills, CA
National Provider Identifier
1285624320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C42406
- Practice address
- 9001 Wilshire Blvd
Suite 306
Beverly Hills, CA 90211-1841 - Phone
- (310) 247-0348
- Fax
- (310) 247-1054
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E8606 | TX | |
| Ophthalmology Physician | 207W00000X | C42406 | CA | Primary |
Addresses
Primary practice location
9001 Wilshire Blvd
Suite 306
Beverly Hills, CA 90211-1841
Mailing address
9001 Wilshire Blvd
Suite 306
Beverly Hills, CA 90211-1841
Phone (310) 247-0348
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C42406 | Medicaid | CA | |
| 00C424060 | Medicaid | CA | |
| 695651 | Other | CA | PIN |
| E8606 | Other | TX | TEXAS STATE LICENCE |
Other names 1
- Louise Cooley Kaldis-Davis
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100429000351 | CA | Practitioner - Ophthalmology | 8729115415 | Practice locations: Beverly Hills, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C42406 | CA | MD | Ophthalmology Physician |
| E8606 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jules Stein Eye Institute Medical Group | Past | Accepting new patients | |
| Mark Kislinger M.D., Inc. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Fountain Valley, CA
- NPI 1770938292
-
- Ophthalmology Physician
- Glendora, CA
- NPI 1215089594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1285624320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BLVD",
"address_2": "SUITE 306",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111841",
"telephone_number": "310-247-0348",
"fax_number": "310-247-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BLVD",
"address_2": "SUITE 306",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111841",
"telephone_number": "310-247-0348",
"fax_number": "310-247-1054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LOUISE",
"middle_name": "COOLEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "E8606",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "C42406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C42406",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C424060",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "695651",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE LICENCE",
"identifier": "E8606",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LOUISE",
"last_name": "KALDIS-DAVIS",
"middle_name": "COOLEY",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.