Organization Active NPI

Jillian Davenport, MD, Faap, Inc.

  • Pediatrics Physician
  • Arroyo Grande, CA
National Provider Identifier
1407761489
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JILLIAN DAVENPORT, MD, FAAP, INC.
Practice address
230 Station Way Ste B
Arroyo Grande, CA 93420-3383
Phone
(805) 473-3262
Fax
(805) 473-3707
NPI assigned
Aug 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Authorized official

Name
Dr. Jillian Davenport, MD
Title
Owner
Phone
(805) 473-3262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

230 Station Way Ste B
Arroyo Grande, CA 93420-3383

Mailing address

230 Station Way Ste B
Arroyo Grande, CA 93420-3383
Phone (805) 473-3262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1407761489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 STATION WAY STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203383",
            "telephone_number": "805-473-3262",
            "fax_number": "805-473-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 STATION WAY STE B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203383",
            "telephone_number": "805-473-3262",
            "fax_number": "805-473-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN DAVENPORT, MD, FAAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-473-3262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.