Active NPI
Shayna Davis
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1679814545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3875 S Western Ave
Los Angeles, CA 90062-1105 - Phone
- (626) 463-1021
- NPI assigned
- Mar 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3875 S Western Ave
Los Angeles, CA 90062-1105
Mailing address
11104 Aqua Vista St Apt 9
Studio City, CA 91602-3108
Phone (325) 370-7285
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": "1362182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1679814545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11104 AQUA VISTA ST APT 9",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916023108",
"telephone_number": "325-370-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621105",
"telephone_number": "626-463-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHAYNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-02",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.