Organization Active NPI

Timothy T. Davis M.D. a Professional Corporation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Monica, CA
National Provider Identifier
1336521905
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A63742 Issued in CA
Legal business name
TIMOTHY T. DAVIS M.D. A PROFESSIONAL CORPORATION
Practice address
2801 Wilshire Blvd Ste a
Santa Monica, CA 90403-4801
Phone
(310) 574-2777
Fax
(310) 315-4968
NPI assigned
Jun 19, 2015
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Mr. Timothy T Davis, M.D.NPI 1770515603
Title
Ceo
Phone
(310) 574-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A63742 CA Primary

Addresses

Primary practice location

2801 Wilshire Blvd Ste a
Santa Monica, CA 90403-4801

Mailing address

1112 Montana Ave Ste 900
Santa Monica, CA 90403-1652
Phone (310) 574-2777

National Provider Directory

National Provider Directory

Locations

1112 Montana Ave
Ste 900
Santa Monica, CA 90403

1451 Broadway
Santa Monica, CA 90404
Phone (310) 260-2827

2428 Santa Monica Blvd
Ste 208
Santa Monica, CA 90404
Phone (310) 574-2777

2001 Corporate Center Dr
Ste 200
Thousand Oaks, CA 91320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1336521905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MONTANA AVE STE 900",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031652",
            "telephone_number": "310-574-2777",
            "fax_number": "310-315-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WILSHIRE BLVD STE A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034801",
            "telephone_number": "310-574-2777",
            "fax_number": "310-315-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY T. DAVIS M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-574-2777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A63742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.