Active NPI
Eric Ara Davtyan
- Orthotist
- Folsom, CA
National Provider Identifier
1487583480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- COA00722
- Practice address
- 4443 Flannelbush Dr
Folsom, CA 95630-6366 - Phone
- (916) 297-0654
- NPI assigned
- May 15, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | COA00722 | CA | Primary |
Addresses
Primary practice location
4443 Flannelbush Dr
Folsom, CA 95630-6366
Mailing address
4443 Flannelbush Dr
Folsom, CA 95630-6366
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA00722 | CA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1487583480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4443 FLANNELBUSH DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4443 FLANNELBUSH DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306366",
"telephone_number": "916-297-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVTYAN",
"first_name": "ERIC",
"middle_name": "ARA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-15",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "COA00722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.