Individual provider Active NPI

William Burton Davis, M.D.

  • Cardiovascular Disease Physician
  • La Mesa, CA
National Provider Identifier
1316939978
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OC28619 Issued in CA
Practice address
7877 Parkway Dr
Suite 1B
La Mesa, CA 91942-2000
Phone
(619) 461-3717
Fax
(619) 461-5941
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OC28619 CA Primary

Addresses

Primary practice location

7877 Parkway Dr
Suite 1B
La Mesa, CA 91942-2000

Mailing address

7877 Parkway Dr
Suite 1B
La Mesa, CA 91942-2000
Phone (619) 461-3717

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
I20110111000343 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587559646 Practice locations: Chula Vista, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28619CAMDDentist
OC28619CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin C Fineman MD Med Corp Past Accepting new patients
William Davis MD Inc Past Accepting new patients
Mobile Physician Services Past Accepting new patients

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1316939978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7877 PARKWAY DR",
            "address_2": "SUITE 1B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422000",
            "telephone_number": "619-461-3717",
            "fax_number": "619-461-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 PARKWAY DR",
            "address_2": "SUITE 1B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422000",
            "telephone_number": "619-461-3717",
            "fax_number": "619-461-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "BURTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "OC28619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.