Timothy J. Davern, MD

Primary specialty

Transplant Hepatology PhysicianTaxonomy code 207RT0003X

License

27766 Issued in CA

Practice address

1100 Van Ness Ave
San Francisco, CA 94109-6978

Phone

(415) 600-1000

Fax

(415) 558-7051

NPI assigned

May 4, 2006

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 identifiers 2

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

GastroenterologyAlso: Internal Medicine

Education

Columbia University College of Physicians and Surgeons, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Care at Home Home health agency, San Francisco, CA, CCN 057003
• California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
• Novato Community Hospital Hospital, Novato, CA, CCN 050131
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
• Memorial Medical Center Hospital, Modesto, CA, CCN 050557

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 34)

Interoperability endpoints

• Direct secure messaging: tdavern51927@hisp.ehr.sutterhealth.org

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.

• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment Care Compare group NPD
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Orinda, CA
  • NPI 1366898538

  Internal Medicine

  NPD
• Sutter Bay Medical Foundation

  • Clinical Medical Laboratory
  • Santa Clara, CA
  • NPI 1669287033
  NPD
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1730238007
  NPD (past)
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769

  Internal Medicine

  NPD (past)
• University of California San Francisco

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1992818256
  NPD (past)

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

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1740348929
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  • Home Health Agency
  • San Francisco, CA
  • NPI 1437188208
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1699723379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-1000",
            "fax_number": "415-558-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096978",
            "telephone_number": "415-600-1000",
            "fax_number": "415-558-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941430001",
            "country_code": "US",
            "telephone_number": "415-353-2318",
            "fax_number": "415-353-2407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2367 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013216",
            "country_code": "US",
            "telephone_number": "707-445-9015",
            "fax_number": "707-445-9014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Esplanade Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263370",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3880 S Bascom Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951242600",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Spanos Ct Ste 125",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953552814",
            "country_code": "US",
            "telephone_number": "916-732-4380",
            "fax_number": "415-558-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Rowland Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455055",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-558-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1189 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203167",
            "country_code": "US",
            "telephone_number": "916-732-4380",
            "fax_number": "916-739-0893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Sonoma Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044802",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3883 Airway Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031670",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "899 Valencia St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941101736",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 Noriega St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941224431",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Alhambra Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165246",
            "country_code": "US",
            "telephone_number": "916-732-4380",
            "fax_number": "916-739-0893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012302",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Webster St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093120",
            "country_code": "US",
            "telephone_number": "510-208-1777",
            "fax_number": "510-208-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Clay St Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94115",
            "country_code": "US",
            "telephone_number": "415-600-1020",
            "fax_number": "415-600-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVERN",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79521",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G79521",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "CA",
            "license": "27766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0G7952100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G79521",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Davenport Alonso, DNP
• Christine Danforth Davenport, RN MSN CNS
• Mark Davenport
• Mikel Davenport, L.AC.
• Zachary Allen Davenport, M.S.
• Daves Pharmacy
• Jodi Angela Davi, MD
• David Ashley MD PC
• David J. Macgregor, M.D., Apc
• David K. Kim, MD, Inc

• Transplant Hepatology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Transplant Hepatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.