Active NPI
Tania Davis
- Social Worker
- Vallejo, CA
National Provider Identifier
1396409975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 444 Georgia St
Vallejo, CA 94590-6005 - Phone
- (707) 703-5132
- Fax
- (707) 638-0398
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MA | Primary |
Addresses
Primary practice location
444 Georgia St
Vallejo, CA 94590-6005
Mailing address
444 Georgia St
Vallejo, CA 94590-6005
Phone (707) 703-5132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Solutions | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Mile High Residential and Behavioral Health
- Foster Care Agency
- Vallejo, CA
- NPI 1265023915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1396409975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 GEORGIA ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945906005",
"telephone_number": "707-703-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 GEORGIA ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945906005",
"telephone_number": "707-703-5132",
"fax_number": "707-638-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TANIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2023-07-27",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.