Danielle L Davidson-McBean

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A87599 Issued in CA

Practice address

110 North Labrea Ave
Inglewood, CA 90301-1708

Phone

(310) 419-3378

Fax

(310) 419-3401

NPI assigned

Aug 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Danielle L Davidson Professional name

Electronic endpoints 1

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

Specialty

Family Practice

Education

Howard University College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment Care Compare group NPD
• Burbank General Medical Group Inc

  • General Practice Physician
  • Sherman Oaks, CA
  • NPI 1376859694
  NPD (past)
• Jose Aguilar M.D. a, Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1174620603
  NPD (past)
• Jose Aguilar M.D. a, Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1760490924
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1689782013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NORTH LABREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011708",
            "telephone_number": "310-419-3378",
            "fax_number": "310-419-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORTH LABREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011708",
            "telephone_number": "310-419-3378",
            "fax_number": "310-419-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON-MCBEAN",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A87599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DAVIDSON",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jhenica Ronette Daniel, NP
• Das Care, Inc.
• Dashen Medical Group, Inc.
• Yalda Serena Dastmalchi, MD
• Bruce Charles Daugherty, MD
• Pamela Deloris Davis Goodacre, LVN
• Bree Elizabeth Davis, PSY.D.
• Debra Ann Davis
• Delores Davis
• Duane Davis

• Adult Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.