Active NPI
Rebecca Hier Davis, COTA
- Community Health Worker
- Norco, CA
National Provider Identifier
1356678437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OTA1633
- Practice address
- 4600 Pedley Ave
Norco, CA 92860-1533 - Phone
- (951) 736-3245
- NPI assigned
- Nov 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OTA1633 | CA | Primary |
Addresses
Primary practice location
4600 Pedley Ave
Norco, CA 92860-1533
Mailing address
7025 Montana Ave
Fontana, CA 92336-0814
Phone (909) 429-6185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA1633 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1356678437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7025 MONTANA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360814",
"telephone_number": "909-429-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 PEDLEY AVE",
"city": "NORCO",
"state": "CA",
"postal_code": "928601533",
"telephone_number": "951-736-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "REBECCA",
"middle_name": "HIER",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "OTA1633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.