Organization Active NPI

Gregory L Davis MD Inc

  • Gynecology Physician
  • Chico, CA
National Provider Identifier
1356520811
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
GREGORY L DAVIS MD INC
Practice address
1560 Humboldt Rd
Suite 3
Chico, CA 95928-9101
Phone
(530) 332-9703
Fax
(530) 894-8505
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Dr. Gregory Lynn Davis, M.D.
Title
President
Phone
(530) 332-9703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

1560 Humboldt Rd
Suite 3
Chico, CA 95928-9101

Mailing address

1560 Humboldt Rd
Suite 3
Chico, CA 95928-9101
Phone (530) 332-9703

Other identifiers 1

IdentifierTypeStateIssuer
00G736380MedicaidCA

National Provider Directory

National Provider Directory

Locations

1560 Humboldt Rd
Ste 3
Chico, CA 95928
Phone (530) 332-9703

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1356520811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HUMBOLDT RD",
            "address_2": "SUITE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289101",
            "telephone_number": "530-332-9703",
            "fax_number": "530-894-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HUMBOLDT RD",
            "address_2": "SUITE 3",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289101",
            "telephone_number": "530-332-9703",
            "fax_number": "530-894-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L DAVIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-332-9703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G736380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.