Paul Richard Davis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7013 Issued in CA

Practice address

1441 Liberty St
Redding, CA 96001-0811

Phone

(530) 226-1721

Fax

(530) 224-2742

NPI assigned

Aug 16, 2006

Last updated

Sep 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

College of Osteo Med of the Pacific at Pomona, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redding RancheriaGroup PAC ID 7810969847, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 3

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

• Redding Rancheria

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1104859354

  W-2 Managing Employee

  CMS ownership
• Redding Rancheria

  dba Redding Rancheria Trinity Health Center

  • Federally Qualified Health Center (FQHC)
  • Weaverville, CA
  • NPI 1386164580

  Corporate Director

  CMS ownership
• Redding Rancheria

  dba Redding Rancheria Center for Advanced Care

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1780423244

  Corporate Director

  CMS ownership

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.

• Redding Rancheria

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1104859354
  Medicare reassignment Care Compare group NPD
• Dignity Health

  dba Dignity Health Mercy Oncology Center

  • Oncology Clinic/Center
  • Redding, CA
  • NPI 1336588870
  Medicare reassignment NPD
• Dignity Health

  dba Mercy Medical Center Redding

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD
• Dignity Health

  dba Mercy Medical Center Mt. Shasta Physicians

  • Rural Health Clinic/Center
  • Mount Shasta, CA
  • NPI 1508341397
  NPD
• Redding Rancheria

  dba Redding Rancheria Center for Advanced Care

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1780423244
  NPD
• Wellness Family Medicine, PC

  • Health Service Clinic/Center
  • Redding, CA
  • NPI 1194484600
  NPD (past)

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

• Dignity Health

  dba Mercy Medical Center Redding

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1609989532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 LIBERTY ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010848",
            "telephone_number": "530-226-1721",
            "fax_number": "530-224-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 LIBERTY ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010811",
            "telephone_number": "530-226-1721",
            "fax_number": "530-224-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi K Davis, OD
• Kyle Patrick Davis, MD
• Lindsay Marie Davis
• Monica Davis
• Nicole Joy Davis, REGISTERED NURSE
• Terrie L Davis, RN, PHN
• Pavan K Davuluri, MD
• Connie Dawson
• Douglas Carl Dawson, RPH
• Martin Andrew Dawson, NP

• Family Medicine Physician in Redding, CA
• Providers in Redding, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.