John Albert Davidson III, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5418 Issued in CA

Practice address

345 F St Ste 100
Chula Vista, CA 91910-2632

Phone

(619) 427-3481

Fax

(619) 420-7807

NPI assigned

Apr 3, 2015

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jack Davidson Other name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Burbank Podiatry Asscociates Group a Professional CorporationGroup PAC ID 2264450683, 24 clinicians

Upperline Healthcare California PCGroup PAC ID 3577975945, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• A Better Solution in Home Care Home health agency, San Diego, CA, CCN 053116

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jdavidson25533@scrippshlth.medalliesdirect.net
• Direct secure messaging: john.davidson.2@4399.direct.athenahealth.com

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.

• Burbank Podiatry Asscociates Group a Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1659470367
  Medicare reassignment Care Compare group NPD
• Upperline Healthcare California PC

  • Podiatric Clinic/Center
  • Orange, CA
  • NPI 1225663826

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• On Call Specialists Medical Group of San Diego, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1962175836

  Podiatrist

  Medicare reassignment NPD
• South Bay Foot & Ankle Specialists, Inc.

  • Podiatrist
  • Chula Vista, CA
  • NPI 1689041055
  Medicare reassignment NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• South Bay Foot & Ankle Specialists, Inc.

  • Podiatrist
  • La Mesa, CA
  • NPI 1649884610
  NPD
• Upperline Healthcare California, PC

  • Foot & Ankle Surgery Podiatrist
  • La Mesa, CA
  • NPI 1093399412
  NPD

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

• Comfort and Thrive Home Health Corporation

  dba Comfort and Thrive Home Health

  • Home Health Agency
  • San Diego, CA
  • NPI 1588053177
  Care Compare affiliation

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1689069874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 LA CANADA ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376720",
            "telephone_number": "858-414-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F ST STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102632",
            "telephone_number": "619-427-3481",
            "fax_number": "619-420-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Euclid Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502953",
            "country_code": "US",
            "telephone_number": "619-292-2493",
            "fax_number": "619-618-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "5418",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "5418",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "DAVIDSON",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jomma Dauz
• David B. Littlefield, DDS, a Dental Corporation (David B. Littlefield, DDS)
• Moreno C. David, P.A.
• Marc Davidoff, LMFT
• Ashley Marie Davidson
• Shante Davidson, AMFT
• Christine Davis
• Dominique Yadira Davis
• Dustin W Davis
• Eric Scott Davis

• Podiatrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.