Individual provider Active NPI

A Alex Davila, M.D.

  • Emergency Medicine Physician
  • Wildomar, CA
National Provider Identifier
1508808544
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A87117 Issued in CA
Practice address
36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone
(951) 677-9773
NPI assigned
Jun 12, 2006
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A87117 CA Primary

Addresses

Primary practice location

36485 Inland Valley Dr
Wildomar, CA 92595-9681

Mailing address

41690 Ivy St Ste B
Murrieta, CA 92562-9437
Phone (951) 200-6695

Other identifiers 1

IdentifierTypeStateIssuer
00A871170MedicaidCA

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
I20040616001123 CA Practitioner - Emergency Medicine 1456335421 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Geffen School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance California ApcGroup PAC ID 1951749894, 68 clinicians

Practice addresses (Care Compare)

38600 Medical Ctr Dr
Palmdale, CA 93551-4483
Phone (661) 382-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87117CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Nov 15, 2018 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2004 Accepting new patients
All Star Hospice, Inc. CurrentSince Nov 2, 2015 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Em Alliance California, Apc Emergency Medicine CurrentSince Apr 3, 2024 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 1, 2004 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physician Partners of Rancho Mirage, Inc Emergency Medicine Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

41690 Ivy St
Ste B
Murrieta, CA 92562
Phone (530) 306-3609

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

L4421
Columbus, OH 43260

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nightingale's HospiceMurrieta, CA, CCN A01725 Hospice 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (75%)
Corporate Director (75%)
W-2 Managing Employee (100%)
Nov 2, 2015
Nov 2, 2015
Nov 2, 2015
Nov 2, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1508808544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41690 IVY ST STE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629437",
            "telephone_number": "951-200-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36485 INLAND VALLEY DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959681",
            "telephone_number": "951-677-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "A",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A87117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A871170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.