Individual provider Active NPI

Christopher C Davis, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1659457281
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3527 Issued in AZ
Practice address
6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750
Phone
(480) 456-9000
NPI assigned
Oct 27, 2006
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3527 AZ Primary
Medical Physician Assistant 363AM0700X 3527 AZ
Diagnostic Radiology Physician 2085R0202X 3527 AZ

Addresses

Primary practice location

6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750

Mailing address

1409 E 2ND PL
Mesa, AZ 85203-8109
Phone (480) 235-6912

Other practice location 1

1125 E Southern Ave
Suite 200
Mesa, AZ 85204-5045
Phone (480) 545-8119 ext. 8113

Other identifiers 1

IdentifierTypeStateIssuer
186974MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000165 AZ Practitioner - Physician Assistant 1951301514 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

1215 S Higley Rd
Mesa, AZ 85206-3486
Phone (480) 827-5740

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (832) 915-2534

1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (832) 915-2534

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (832) 915-2534

1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (832) 915-2534

1955 W Guadalupe Rd
Suite 101 102
Mesa, AZ 85202-7487
Phone (480) 827-5620

2050 W Southern Ave
Apache Junction, AZ 85120-7305
Phone (832) 915-2534

2950 S Alma School Rd
Suite 1
Chandler, AZ 85286-8120
Phone (480) 827-5690

3126 S Higley Rd
Suite 109
Gilbert, AZ 85295-2030
Phone (480) 827-5780

3160 E Queen Creek Rd
Gilbert, AZ 85297-8403
Phone (480) 827-5790

35945 N Gary Rd
San Tan Valley, AZ 85143-5748
Phone (480) 827-5750

37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone (832) 915-2534

40773 N Ironwood Dr
San Tan Valley, AZ 85140-7002
Phone (480) 827-5760

4206 E Chandler Blvd
Suite 100
Phoenix, AZ 85048-8873
Phone (480) 827-5590

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3527AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Arizona LLC CurrentSince Jun 1, 2025 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
East Valley Diagnostic Imaging LLC Past Accepting new patients
Palo Verde Hematology Oncology LTD. Past Accepting new patients
Banner Urgent Care Services, LLC Past Accepting new patients
Banner Imaging Services LLC Past Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Past Accepting new patients
Associated Radiologists LTD PastSince Jan 1, 1991 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1659457281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 E 2ND PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038109",
            "telephone_number": "480-235-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "480-456-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 E Southern Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045045",
            "country_code": "US",
            "telephone_number": "480-545-8119 x8113",
            "fax_number": "480-892-6805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3527",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3527",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "3527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186974",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.