Active NPI
Harvey Charles Davis, D.P.M.
- Podiatrist
- San Diego, CA
National Provider Identifier
1447371646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1402
- Practice address
- 4115 Ohio St
San Diego, CA 92104-1911 - Phone
- (619) 283-6881
- Fax
- (619) 330-2697
- NPI assigned
- Apr 3, 2007
- Last updated
- Oct 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1402 | CA | Primary |
Addresses
Primary practice location
4115 Ohio St
San Diego, CA 92104-1911
Mailing address
4115 Ohio St
San Diego, CA 92104-1911
Phone (619) 283-6881
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1402 | CA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1447371646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 OHIO ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921041911",
"telephone_number": "619-283-6881",
"fax_number": "619-330-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 OHIO ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921041911",
"telephone_number": "619-283-6881",
"fax_number": "619-330-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HARVEY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E1402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.