Dantae D. Davies, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G28898 Issued in CA

Practice address

2650 Jones Way
Ste 8
Simi Valley, CA 93065-1217

Phone

(805) 577-7977

Fax

(805) 577-0745

NPI assigned

Oct 17, 2006

Last updated

Mar 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

General Surgery

Education

Loma Linda University School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northridge Trauma Surgeons Inc a Medical CorporationGroup PAC ID 2567828825, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northridge Trauma Surgeons Inc a Medical Corporation

  • Surgery Physician
  • Northridge, CA
  • NPI 1255418745
  Medicare reassignment Care Compare group NPD
• Dr. Dantae D Davies MD

  • Specialist
  • Simi Valley, CA
  • NPI 1942428461
  NPD Authorized official
• Andrew Edward Luckey III, M.D., Inc.

  • Surgery Physician
  • Simi Valley, CA
  • NPI 1598062655
  NPD (past)
• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Laurence J.S. Weekes M.D. and Linda Tigner Weekes, M.D. Inc.

  • Specialist
  • Simi Valley, CA
  • NPI 1326265919
  NPD (past)
• NPI 1033163019

  • NPI 1033163019
  NPD (past)
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  NPD (past)
• West Hills Hospital

  dba West Hills Hospital & Medical Center

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1649351941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JONES WAY",
            "address_2": "STE 8",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651217",
            "telephone_number": "805-577-7977",
            "fax_number": "805-577-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JONES WAY",
            "address_2": "STE 8",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651217",
            "telephone_number": "805-577-7977",
            "fax_number": "805-577-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "DANTAE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G28898",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G28898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G288980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Loredana Dattoma, MD
• Dave Hallbauer (VCBH-SimiValley Children's Mental Health)
• David B. Rosenfeld, M.D., Inc.
• David M. Gudeman, M.D., Inc.
• Jerry A Davidson, M.D.
• Austin Parker Davis
• Caitlin Alyse Davis, AUD
• Daniel K. Davis, MD
• Daysa Davis
• Kirk Edward Davis, RPH

• Specialist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.