Organization Active NPI

Jonathan Davies Rpa-C

  • Surgical Physician Assistant
  • Santa Clara, CA
National Provider Identifier
1376099747
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
51498 Issued in CA
Legal business name
JONATHAN DAVIES RPA-C
Practice address
53 Cronin Dr
Santa Clara, CA 95051-6719
Phone
(408) 984-2455
Fax
(408) 984-2456
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Damon Frach, PH.D.
Title
Billing Manager
Phone
(408) 984-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X 51498 CA Primary

Addresses

Primary practice location

53 Cronin Dr
Santa Clara, CA 95051-6719

Mailing address

53 Cronin Dr
Santa Clara, CA 95051-6719
Phone (408) 984-2455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1376099747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CRONIN DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516719",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CRONIN DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516719",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN DAVIES RPA-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "FRACH",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "408-984-2455",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "51498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.