Individual provider Active NPI

Jeffrey Mitchel Davidson, M.D.

  • Allergy & Immunology Physician
  • San Francisco, CA
National Provider Identifier
1295792497
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G52139 Issued in CA
Practice address
180 Montgomery St
Suite 2370
San Francisco, CA 94104-4205
Phone
(415) 433-6673
Fax
(415) 433-6063
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G52139 CA Primary

Addresses

Primary practice location

180 Montgomery St
Suite 2370
San Francisco, CA 94104-4205

Mailing address

180 Montgomery St
Suite 2370
San Francisco, CA 94104-4205
Phone (415) 433-6673

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
I20040405001058 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0648263863 Reassigns benefits to 1 organization
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
90.46
Promoting interoperability
76
Improvement activities
40
Cost
75.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G52139CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California - UCSF CurrentSince Jul 30, 2019 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
Ste S110
San Francisco, CA 94118

2100 Webster St
Ste 202
San Francisco, CA 94115
Phone (415) 749-5779

45 Castro St
Ste 325
San Francisco, CA 94114
Phone (415) 863-3366

899 Northgate Dr
Ste 110
San Rafael, CA 94903
Phone (415) 684-8452

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1295792497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MONTGOMERY ST",
            "address_2": "SUITE 2370",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044205",
            "telephone_number": "415-433-6673",
            "fax_number": "415-433-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MONTGOMERY ST",
            "address_2": "SUITE 2370",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044205",
            "telephone_number": "415-433-6673",
            "fax_number": "415-433-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JEFFREY",
        "middle_name": "MITCHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G52139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.