Organization Active NPI

Arthur R Davis Jr MD a Medical Corporation

  • Family Medicine Physician
  • Indio, CA
National Provider Identifier
1609059856
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G19154 Issued in CA
Legal business name
ARTHUR R DAVIS JR MD A MEDICAL CORPORATION
Practice address
81709 Dr Carreon Blvd Ste C5
Indio, CA 92201-5577
Phone
(760) 347-7730
Fax
(760) 342-3001
NPI assigned
Dec 11, 2007
Last updated
Oct 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Mrs. Christina Arceo, ETC
Title
Office Manager
Phone
(760) 347-7730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G19154 CA Primary

Addresses

Primary practice location

81709 Dr Carreon Blvd Ste C5
Indio, CA 92201-5577

Mailing address

81709 Dr Carreon Blvd Ste C5
Indio, CA 92201-5577
Phone (760) 347-7730

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1609059856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE C5",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-347-7730",
            "fax_number": "760-342-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE C5",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-347-7730",
            "fax_number": "760-342-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR R DAVIS JR MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "ARCEO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-347-7730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G19154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.