Artez Davis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

265 San Jacinto River Rd
Suite 107
Lake Elsinore, CA 92530-4400

Phone

(951) 674-9243

Fax

(951) 674-9635

NPI assigned

Jul 27, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1508319427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SAN JACINTO RIVER RD",
            "address_2": "SUITE 107",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304400",
            "telephone_number": "951-674-9243",
            "fax_number": "951-674-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SAN JACINTO RIVER RD",
            "address_2": "SUITE 107",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304400",
            "telephone_number": "951-674-9243",
            "fax_number": "951-674-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ARTEZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill Thomas Dailey, RADT-I
• Mohammad Reza Danesh, M.D.
• Lora L Daniel
• David J Carlisle DDS Inc
• Leidy Karina Davila
• Zavonnika Davis
• Davita Riverside LLC
• Lauryn Dawes
• Leslie Yenedith Dazo, LCSW
• Maria De la Cruz

• Mental Health Counselor in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.