Edward Lee Davis, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G21363 Issued in CA

Practice address

658 S Washington Ave
Glendora, CA 91740-4330

Phone

(626) 335-7207

NPI assigned

Nov 3, 2005

Sex

Male

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• City of Hope Medical Foundation

  dba City of Hope Duarte

  • Hematology & Oncology Physician
  • Duarte, CA
  • NPI 1871886366

  Urology

  Medicare reassignment NPD

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386635803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 S WASHINGTON AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404330",
            "telephone_number": "626-335-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 S WASHINGTON AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404330",
            "telephone_number": "626-335-7207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 W Carroll Ave",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917414240",
            "country_code": "US",
            "telephone_number": "626-335-0228",
            "fax_number": "626-914-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EDWARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G21363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ72637Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shilpa Dashpute
• Anahita Taraporewalla Dastur, DDS
• Kindra Lynn Davenport, LMFT
• David D Carlton OD an Optometric Corporation
• Charles G. Davis, D.C.
• Margaret N Dayne, MA
• Rebecca De Keyser, MBA
• Emmanuel De Leon, RN, MSN, PMHNP-BC
• Christopher De Los Santos
• James Joseph De Santis, PH.D.

• Urology Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.