Active NPI
James E Davis, M.S, OTR/L
- Occupational Therapist
- Temecula, CA
National Provider Identifier
1619144375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4120
- Practice address
- 41743 Enterprise Cir N
Suite #107
Temecula, CA 92590-5645 - Phone
- (951) 302-0278
- Fax
- (951) 266-5759
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4120 | AZ | Primary |
Addresses
Primary practice location
41743 Enterprise Cir N
Suite #107
Temecula, CA 92590-5645
Mailing address
33964 Lydia CT
Temecula, CA 92592-9140
Phone (480) 789-2980
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13729 | Other | CA | STATE OF CALIFORNIA |
| 4120 | Other | AZ | ARIZONA LICENSE |
| CA138726 | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3530 S Val Vista Dr
Suite A111
Gilbert, AZ 85297-7319
Phone (480) 608-0058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4120 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zoe Health Group LLC | Current | Accepting new patients | |
| Neuro Rehab Connection | Current | Accepting new patients | |
| Rehab Arizona Neuro Rehabilitation, LLC | Past | Accepting new patients |
Locations
3530 S Val Vista Dr
Ste A111
Gilbert, AZ 85297
Phone (480) 219-7810
31309 Temecula Pkwy
Ste 101
Temecula, CA 92592
Phone (951) 302-5213
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Temecula, CA
- NPI 1144639980
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1710681333
-
- Rehabilitation Clinic/Center
- Mesa, AZ
- NPI 1851359145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1619144375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33964 LYDIA CT",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925929140",
"telephone_number": "480-789-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41743 ENTERPRISE CIR N",
"address_2": "SUITE #107",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905645",
"telephone_number": "951-302-0278",
"fax_number": "951-266-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMES",
"middle_name": "E",
"credential": "M.S, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA",
"identifier": "13729",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA LICENSE",
"identifier": "4120",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CA138726",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.