Active NPI
Drisana Davis
- Marriage & Family Therapist
- La Jolla, CA
National Provider Identifier
1639830060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 120990
- Practice address
- 7734 Herschel Ave Unit 1
La Jolla, CA 92037-4433 - Phone
- (415) 578-0708
- NPI assigned
- Jan 7, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 120990 | CA | Primary |
Addresses
Primary practice location
7734 Herschel Ave Unit 1
La Jolla, CA 92037-4433
Mailing address
2000 S Lagarto Way
Palm Springs, CA 92264-9022
Phone (415) 578-0708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1639830060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S LAGARTO WAY",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922649022",
"telephone_number": "415-578-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7734 HERSCHEL AVE UNIT 1",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374433",
"telephone_number": "415-578-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DRISANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.