Individual provider Active NPI

Christine Davis

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1669857488
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A23287 Issued in CA
Practice address
450 4TH Ave Ste 301
Chula Vista, CA 91910-4429
Phone
(619) 271-7824
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A23287 CA Primary

Addresses

Primary practice location

450 4TH Ave Ste 301
Chula Vista, CA 91910-4429

Mailing address

450 4TH Ave Ste 301
Chula Vista, CA 91910-4429
Phone (619) 271-7824

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240923000227 CA Practitioner - Internal Medicine 7416265426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ajay G Meka MD IncGroup PAC ID 0244129963, 13 clinicians

Practice addresses (Care Compare)

502 Euclid Ave
Suite 304
National City, CA 91950-8900
Phone (619) 477-0084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A23287CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay G. Meka M.D. Inc. Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients

Locations

450 Fourth Ave
Ste 301
Chula Vista, CA 91910
Phone (619) 271-7824

502 Euclid Ave
Ste 304
National City, CA 91950
Phone (619) 470-6195

2740 S Bristol St
Ste 208
Santa Ana, CA 92704
Phone (714) 571-4941

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1669857488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 4TH AVE STE 301",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104429",
            "telephone_number": "619-271-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 4TH AVE STE 301",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104429",
            "telephone_number": "619-271-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A23287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.