Active NPI
Jason Tyler Davis, MD
- Nephrology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A100799
- Practice address
- 8885 Rio San Diego Dr Ste 212
San Diego, CA 92108-1626 - Phone
- (619) 299-2350
- Fax
- (619) 297-8379
- NPI assigned
- Jan 17, 2008
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A100799 | CA | Primary |
Addresses
Primary practice location
8885 Rio San Diego Dr Ste 212
San Diego, CA 92108-1626
Mailing address
9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A100799 | Other | CA | CA LICENSE |
| BR072X | Other | CA | SO CA MEDICARE PTAN |
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 |
|---|---|---|---|---|
| I20090512000571 | CA | Practitioner - Nephrology | 4486703915 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Washington School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emergency and Acute Care Medical CorporationBalboa Nephrology Medical Group Inc
Practice addresses (Care Compare)
250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3600
7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400
8885 Rio San Diego Dr
Suite 212
San Diego, CA 92108-1626
Phone (619) 299-2350
Hospital & facility affiliations
- FMC-Gateway Dialysis Center - East
- Fresenius Medical Care Raven
- Scripps Mercy Hospital
- Sharp Coronado Hospital and Hlthcr Ctr
- Grossmont Hospital
- Sharp Memorial Hospital
- Sharp Chula Vista Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100799 | CA | MD | Marriage & Family Therapist |
| A100799 | CA | MD | Nephrology Physician |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Balboa Nephrology Medical Group,Inc. | Current | Accepting new patients | |
| On Call Specialists Medical Group of San Diego, Inc. | Current | Accepting new patients | |
| Balboa Nephrology Medical Group, Inc. | Nephrology | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| San Diego Dialysis Services, Inc. | Past | Accepting new patients | |
| Sharp Coronado Hospital and Healthcare Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
320 Santa Fe Dr
Ste 212
Encinitas, CA 92024
Phone (760) 452-3340
4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
3300 Vista Way
Ste B
Oceanside, CA 92056
Phone (760) 967-9569
15708 Pomerado Rd
Ste N205
Poway, CA 92064
Phone (858) 487-5732
9610 Granite Ridge Dr
Ste B
San Diego, CA 92123
Phone (858) 499-1900
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
8010 Frost St
Ste 510
San Diego, CA 92123
Phone (858) 278-9900
7910 Frost St
Ste 250
San Diego, CA 92123
Phone (858) 565-0104
9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jdavis10393@direct.acumenmd.com
- jdavis28294@scrippshlth.medalliesdirect.net
Organizations & group practices 11
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.
-
- Nephrology Physician
- San Diego, CA
- NPI 1316997505
CA, Nephrology
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
CA
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1598276404
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1740392547
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1366834285
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1386756187
Dialysis facility
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
Hospital
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1295911469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9373 HAZARD WAY STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231226",
"telephone_number": "858-810-0000",
"fax_number": "858-268-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8885 RIO SAN DIEGO DR STE 212",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081626",
"telephone_number": "619-299-2350",
"fax_number": "619-297-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JASON",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A100799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "A100799",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SO CA MEDICARE PTAN",
"identifier": "BR072X",
"state": "CA"
}
],
"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 Jun 19, 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.