Deanna S Davis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15995 Issued in CA

Practice address

751 S Bascom Ave
Neurosurgery Dept
San Jose, CA 95128-2604

Phone

(408) 885-5686

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Del Sur Healthcare

  • Geriatric Medicine (Internal Medicine) Physician
  • El Cajon, CA
  • NPI 1891515953
  Medicare reassignment
• Geri Connection

  • Family Medicine Physician
  • Poway, CA
  • NPI 1447976907
  Medicare reassignment
• Myndfull Care California PC

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1912699703
  Medicare reassignment
• Myndfull Care Management California PC

  • Clinic/Center
  • San Diego, CA
  • NPI 1770206435
  Medicare reassignment
• County of Santa Clara

  dba SCVMC Physician Services

  • Allergy Physician
  • San Jose, CA
  • NPI 1104014935
  NPD (past)
• County of Santa Clara

  dba VMC Physician Services Invision

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1487808614
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1346219631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "NEUROSURGERY DEPT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEANNA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15995",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "15995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA15995",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asia-Jae Davis
• Brenda Rose Davis
• Brooke Davis, PA-C
• Colleen Davis
• Deahna Davis
• Deirdre Davis
• Drew J Davis, M.D.
• Emily Ann Davis, OTR/L
• Grace Eileen Davis, LCSW
• Heather Davis

• Physician Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.