Organization Active NPI

Multispecialty Surgical & Wound Care Traveling Consultants

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1689471260
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MULTISPECIALTY SURGICAL & WOUND CARE TRAVELING CONSULTANTS
Practice address
1425 W Manchester Ave Unit A1425
Los Angeles, CA 90047-5439
Phone
(310) 242-7400
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Dr. Daniel Davidson, MD PHD DBA ND
Title
Administrator
Phone
(310) 212-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1425 W Manchester Ave Unit A1425
Los Angeles, CA 90047-5439

Mailing address

1270 S Alfred St # 1064
Los Angeles, CA 90035-2506
Phone (310) 212-1500

National Provider Directory

National Provider Directory
Tax ID family
Multispecialty Surgical Wound Care Traveling Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1425 W Manchester Ave
Unit A1425
Los Angeles, CA 90047
Phone (310) 242-7400

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1689471260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 S ALFRED ST # 1064",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352506",
            "telephone_number": "310-212-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W MANCHESTER AVE UNIT A1425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900475439",
            "telephone_number": "310-242-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTISPECIALTY SURGICAL & WOUND CARE TRAVELING CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-212-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD DBA ND"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "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 Feb 28, 2025; 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.