Individual provider Active NPI

Jean Drukker Davis, PT, MPH

  • Specialist
  • West Hills, CA
National Provider Identifier
1679768584
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 13592 Issued in CA
Practice address
6861 Valley Circle Blvd Unit 9
West Hills, CA 91307-2860
Phone
(818) 693-1002
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 13592 CA Primary

Addresses

Primary practice location

6861 Valley Circle Blvd Unit 9
West Hills, CA 91307-2860

Mailing address

6861 Valley Circle Blvd Unit 9
West Hills, CA 91307-2860
Phone (818) 693-1002

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 13592CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1679768584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6861 VALLEY CIRCLE BLVD UNIT 9",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072860",
            "telephone_number": "818-693-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 VALLEY CIRCLE BLVD UNIT 9",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072860",
            "telephone_number": "818-693-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEAN",
        "middle_name": "DRUKKER",
        "name_prefix": "Ms.",
        "credential": "PT, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 13592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.