Individual provider Active NPI

Maisha A Davis, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1598150666
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A156908 Issued in CA
Practice address
1625 Schrader Blvd
Los Angeles, CA 90028-6213
Phone
(323) 993-7500
Fax
(323) 308-4456
NPI assigned
Apr 5, 2015
Last updated
Mar 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A156908 CA Primary

Addresses

Primary practice location

1625 Schrader Blvd
Los Angeles, CA 90028-6213

Mailing address

3807 W 59TH PL
Los Angeles, CA 90043-2923
Phone (909) 720-4681

Other practice location 1

3850 17th St
San Francisco, CA 94114-2031
Phone (415) 934-7700

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
I20180911002668 CA Practitioner - Internal MedicinePractitioner - Family Practice 3072827633 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles LGBT CenterGroup PAC ID 8729975453, 29 clinicians

Practice addresses (Care Compare)

1625 Schrader Blvd
FL 3
Los Angeles, CA 90028-6213
Phone (323) 993-7400

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156908CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care Family Medicine CurrentSince Aug 23, 2018 Accepting new patients
Los Angeles LGBT Center CurrentSince Jul 1, 2024 Accepting new patients
Los Angeles LGBT Center CurrentSince Jul 1, 2024 Accepting new patients
City and County of San Francisco CurrentSince Aug 28, 2018 Accepting new patients
Lyon-Martin Community Health Services CurrentSince Mar 16, 2022 Accepting new patients
Lifelong Medical Care CurrentSince Aug 23, 2018 Accepting new patients
City & County of San Francisco CurrentSince Aug 28, 2018 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

1625 Schrader Blvd
Los Angeles, CA 90028
Phone (323) 993-7400

1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400

2313 W Martin Luther King Jr Blvd
Los Angeles, CA 90008
Phone (323) 860-3799

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1598150666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 W 59TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432923",
            "telephone_number": "909-720-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SCHRADER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286213",
            "telephone_number": "323-993-7500",
            "fax_number": "323-308-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 17th St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941142031",
            "country_code": "US",
            "telephone_number": "415-934-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MAISHA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-05",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A156908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.