Michelle Davey, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A78760 Issued in CA

Practice address

1179 N McDowell Blvd
Petaluma, CA 94954

Phone

(707) 559-7500

Fax

(707) 559-7620

NPI assigned

May 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

West County Health Centers, Inc.Group PAC ID 6800782277, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Care at Home Home health agency, Santa Rosa, CA, CCN 058189
• Providence at Home With Compassus Home Health, Sonoma Home health agency, Santa Rosa, CA, CCN 557433
• Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
• Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdavey208964@hisp.ehr.sutterhealth.org
• Direct secure messaging: mdavey3192279@oc.providencedirect.org

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.

• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762

  CA, Family Medicine

  Medicare reassignment Care Compare group NPD (past)
• Petaluma Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Petaluma, CA
  • NPI 1588656268

  CA

  Medicare reassignment NPD
• Sebastopol Urgent Care

  • Urgent Care Clinic/Center
  • Sebastopol, CA
  • NPI 1497329015

  CA

  Medicare reassignment NPD
• West County Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Guerneville, CA
  • NPI 1356344758
  Care Compare group NPD (past)
• Providence Medical Foundation

  • Orthopaedic Surgery Physician
  • Eureka, CA
  • NPI 1386937225
  Care Compare group
• West County Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sebastopol, CA
  • NPI 1538334065
  Care Compare group
• West County Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Occidental, CA
  • NPI 1598768962
  Care Compare group
• West County Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Guerneville, CA
  • NPI 1598786352
  Care Compare group
• West County Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sebastopol, CA
  • NPI 1841916889
  Care Compare group
• West County Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sebastopol, CA
  • NPI 1861809501
  Care Compare group
• Petaluma Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Petaluma, CA
  • NPI 1437918406
  NPD
• Providence Medical Foundation

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1285890624
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Norcal Healthconnect LLC

  • General Acute Care Hospital
  • Petaluma, CA
  • NPI 1235162645

  Hospital

  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549

  Hospital

  Care Compare affiliation
• St. Joseph Home Care Network

  • Home Health Agency
  • Santa Rosa, CA
  • NPI 1801981634
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  • Home Health Agency
  • Santa Rosa, CA
  • NPI 1205865870
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1366445785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 N MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546559",
            "telephone_number": "707-559-7500",
            "fax_number": "707-559-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 N MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954",
            "telephone_number": "707-559-7500",
            "fax_number": "707-559-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16319 Third Street",
            "address_purpose": "LOCATION",
            "city": "Guerneville",
            "state": "CA",
            "postal_code": "95446",
            "country_code": "US",
            "telephone_number": "707-869-2849",
            "fax_number": "707-869-1477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1179 N McDowell Blvd",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "94954",
            "country_code": "US",
            "telephone_number": "707-559-7500",
            "fax_number": "707-559-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A78760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX78760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1356344758",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356344758",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ73222Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Dankmeyer, MA
• Nicole Evangelia Daoud, PA-C
• Sagarika Fenella Dasgupta, PH.D
• Sierra Dator, LSCW
• Christian Jude Dauphin
• David a Chappell MD, Medical Corporation
• Danielle Deeann Davis
• Rachel Rosalie Davis
• Deborah Lynne Davison, SLP
• Karna Licia Dawson, LCSW

• All providers in Petaluma, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.