Venetta Evon Davis

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

205684 Issued in CA

Practice address

11041 Valley Blvd
El Monte, CA 91731-2516

Phone

(626) 442-4177

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Venetta Evon Davis del Castillo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1508374091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11041 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312516",
            "telephone_number": "626-442-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312516",
            "telephone_number": "626-442-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 E Thelborn St",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911442",
            "country_code": "US",
            "telephone_number": "626-915-3844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VENETTA",
        "middle_name": "EVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "205684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENETTA",
            "last_name": "DAVIS DEL CASTILLO",
            "middle_name": "EVON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Davidosky
• Carlos Davila, PHARMD
• Vanessa Davila
• Nicole Davis
• Shanica Davis, REGISTERED NURSE
• Bianca De Anda
• Ignacio De Artola Jr., M.D.
• Valerie I De Guzman, LVN
• De la Pena Eye Clinic, a Medical Group Inc.
• De la Pena Eye Clinic, a Medical Group, Inc

• Addiction (Substance Use Disorder) Counselor in El Monte, CA
• Providers in El Monte, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.