Individual provider Active NPI

Jason Tyler Davis, MD

  • Nephrology Physician
  • San Diego, CA
National Provider Identifier
1295911469
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A100799 Issued in CA
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

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A100799OtherCACA LICENSE
BR072XOtherCASO 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090512000571 CA Practitioner - NephrologyPractitioner - Internal Medicine 4486703915 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
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 CorporationGroup PAC ID 9537108279, 431 clinicians
Balboa Nephrology Medical Group IncGroup PAC ID 9638164015, 78 clinicians

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 Dialysis facility, San Diego, CA, CCN 052678
  • Fresenius Medical Care Raven Dialysis facility, San Diego, CA, CCN 552798
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100799CAMDMarriage & Family Therapist
A100799CAMDNephrology Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 27, 2012 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 16, 2012 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Aug 27, 2012 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Sep 1, 2012 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Balboa Nephrology Medical Group, Inc. Nephrology CurrentSince Sep 1, 2012 Accepting new patients
Scripps Health Current Accepting new patients
San Diego Dialysis Services, Inc. PastSince Dec 5, 2016 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

  • Direct secure messaging: jdavis10393@direct.acumenmd.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.