Individual provider Active NPI

Michael J Davis, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pomona, CA
National Provider Identifier
1437320785
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A111866 Issued in CA
Practice address
160 E Artesia St Ste 120
Pomona, CA 91767-2920
Phone
(800) 898-2020
NPI assigned
Mar 14, 2008
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A111866 CA
Ophthalmology Physician 207W00000X 036120010 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X A111866 CA Primary

Addresses

Primary practice location

160 E Artesia St Ste 120
Pomona, CA 91767-2920

Mailing address

288 N Santa Anita Ave Ste 402
Arcadia, CA 91006-3183
Phone (800) 898-2020

Other identifiers 2

IdentifierTypeStateIssuer
036120010 1MedicaidIL
1437320785MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100817000225 CA Practitioner - Ophthalmology 8022184712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

11525 Brookshire Ave
201A
Downey, CA 90241-4982
Phone (562) 862-6200

160 E Artesia St
Suite 120
Pomona, CA 91767-2920
Phone (909) 629-5965

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A111866CAMDOphthalmology Physician
036120010ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange ASC, LLC Current Accepting new patients
Illinois Retina Associates PLLC Ophthalmology PastSince Jan 24, 1991 Accepting new patients
Renaissance ASC, LLC PastSince May 1, 2015 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Retina Institute of California Medical Group Past Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Retina Institute of California Medical Group, a California Medical Par PastSince Sep 12, 2021 Accepting new patients

Locations

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1437320785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 N SANTA ANITA AVE STE 402",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063183",
            "telephone_number": "800-898-2020",
            "fax_number": "844-897-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 120",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672920",
            "telephone_number": "800-898-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A111866",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036120010",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A111866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120010 1",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437320785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.