James Michael Davis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC12649 Issued in CA

Practice address

902 W Grand Ave
Grover Beach, CA 93433-2136

Phone

(805) 489-2200

Fax

(805) 489-1144

NPI assigned

Jan 26, 2007

Last updated

Nov 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers of the Central Coast IncGroup PAC ID 7416868120, 74 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.davis.1@17363.direct.athenahealth.com

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.

• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Oceano, CA
  • NPI 1336166248
  Medicare reassignment Care Compare group NPD
• J Michael Davis DC a Professional Chiropractic Corp

  • Clinic/Center
  • Grover Beach, CA
  • NPI 1134436678
  Authorized official Same address or phone
• Pacific Coast Spine Center a Physical Therapy Corp

  dba Pacific Coast Spine Center

  • Physical Therapist
  • Arroyo Grande, CA
  • NPI 1013179597
  NPD (past) Authorized official
• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Santa Maria, CA
  • NPI 1447277355
  NPD
• Community Health Centers of the Central Coast Inc

  dba Community Health Centers Cambria

  • Federally Qualified Health Center (FQHC)
  • Cambria, CA
  • NPI 1881611705
  NPD
• Community Health Centers of the Central Coast, Inc

  dba Community Health Centers-Arroyo Grande

  • Community Health Clinic/Center
  • Arroyo Grande, CA
  • NPI 1598064008
  NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1295881738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W GRAND AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332136",
            "telephone_number": "805-489-2200",
            "fax_number": "805-489-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W GRAND AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332136",
            "telephone_number": "805-489-2200",
            "fax_number": "805-489-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CHIROPRACTICE EXAMINERS LICENSE",
            "identifier": "12649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of San Luis Obispo Drug and Alcohol Service
• Zabrina Cox, RN, CLD, LCCE
• Faith Crow
• Benjamin Davidson
• Crystal Leann Davis, R.N.
• Dawn M Terashita, PC
• Rachel Dawson
• Meltem Deniz, DMD
• Kristen Deuel
• Stephanie Diaz

• Chiropractor in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.