Individual provider Active NPI

Michelle Davis

  • Family Medicine Physician
  • La Jolla, CA
National Provider Identifier
1598404261
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NPF95020394 Issued in CA
Practice address
9850 Genesee Ave Ste 400
La Jolla, CA 92037-1212
Phone
(858) 558-8666
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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 NPF95020394 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 400
La Jolla, CA 92037-1212

Mailing address

9850 Genesee Ave Ste 400
La Jolla, CA 92037-1212
Phone (858) 558-8666

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711004344 CA Practitioner - Nurse Practitioner 4587023361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
National University of Arts and Sciences, Medical Department, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

505 E Romie LN
Suite a
Salinas, CA 93901-4031
Phone (831) 755-1701

9850 Genesee Ave
Suite 400
La Jolla, CA 92037-1212
Phone (858) 558-8666

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF95020394CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sabina R Wallach MD AMC CurrentSince Jun 29, 2023 Accepting new patients
Svmhs Clinics CurrentSince Feb 1, 2026 Accepting new patients
Svmhs Clinics CurrentSince Feb 1, 2026 Accepting new patients
Medical Oncology Associates of San Diego a Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

9850 Genesee Ave
Ste 400
La Jolla, CA 92037
Phone (858) 558-8666

505 E Romie Ln
Ste A
Salinas, CA 93901
Phone (831) 755-1701

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

230 Prospect Pl
Ste 210
San Diego, CA 92118
Phone (619) 269-4747

4060 4th Ave
Ste 440
San Diego, CA 92103
Phone (619) 298-8891

3075 Health Center Dr
Ste 102
San Diego, CA 92123
Phone (858) 637-7888

5555 Reservoir Dr
Ste 306
San Diego, CA 92120
Phone (619) 287-9910

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1598404261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371212",
            "telephone_number": "858-558-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371212",
            "telephone_number": "858-558-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NPF95020394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.