Stephanie Denise Davis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

16405 Sand Canyon Ave Ste 210
Irvine, CA 92618-3786

Phone

(949) 398-0106

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: sdavis40618@hoaghospital.direct-ci.com
• Direct secure messaging: sdavis719266@direct.memorialcare.org

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1376208710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WINDGATE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925173",
            "telephone_number": "949-614-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183786",
            "telephone_number": "949-398-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEPHANIE",
        "middle_name": "DENISE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Davis
• Haley Davis
• Lori Ann Davis, LCSW
• Arthur Brian Davis, MD, Facs, Inc, M.D.
• Molly Maureen Davis
• Susan Davoodifar, M.D.
• Dawei Wang Psychiatrist, a Medical Corp
• Bianca Dawkins
• Julie Ann Dawson, OTR/L
• Niels Dawson

• Physician Assistant in Irvine, CA
• Providers in Irvine, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.