NPIMap

Organization Active NPI

Pamela D. Davis, M.D., Inc.

  • Anesthesiology Physician
  • Inglewood, CA
National Provider Identifier
1386756930
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G46258 Issued in CA
Legal business name
PAMELA D. DAVIS, M.D., INC.
Practice address
133 N. Prairie Ave.
Inglewood, CA 90301-4878
Phone
(310) 419-0900
Fax
(310) 622-8776
NPI assigned
Aug 31, 2006
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PAMELA D. DAVIS, M.D., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Pamela D. Davis, MDNPI 1689634974
Title
Owner/Ceo
Phone
(949) 413-3541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G46258 CA Primary
General Practice Physician 208D00000X G46258 CA

Addresses

Primary practice location

133 N. Prairie Ave.
Inglewood, CA 90301-4878

Mailing address

133 N. Prairie Ave.
Inglewood, CA 90301-4878
Phone (310) 419-0900

Other identifiers 1

IdentifierTypeStateIssuer
00G462580MedicaidCA

National Provider Directory

National Provider Directory
Part of
Pamela D Davis MD Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1386756930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N. PRAIRIE AVE.",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014878",
            "telephone_number": "310-419-0900",
            "fax_number": "310-622-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N. PRAIRIE AVE.",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014878",
            "telephone_number": "310-419-0900",
            "fax_number": "310-622-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA D. DAVIS, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAMELA D. DAVIS, M.D., INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "949-413-3541",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G46258",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G46258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G462580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.