Organization Active NPI

Dr. Ryan K. I. Davis, M.D., a Professional Corporation

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1710420948
Registry record updated Nov 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A108035 Issued in CA
Legal business name
DR. RYAN K. I. DAVIS, M.D., A PROFESSIONAL CORPORATION
Practice address
9777 Wilshire Blvd
#507
Beverly Hills, CA 90212-1910
Phone
(310) 988-9393
NPI assigned
Nov 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2016

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

Authorized official

Name
Dr. Ryan Davis, M.D
Title
President
Phone
(310) 988-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A108035 CA Primary

Addresses

Primary practice location

9777 Wilshire Blvd
#507
Beverly Hills, CA 90212-1910

Mailing address

9777 Wilshire Blvd
#507
Beverly Hills, CA 90212-1910
Phone (310) 988-9393

Other names 1

  • Mind Health Institute, Beverly Hills Doing business as

National Provider Directory

National Provider Directory

Locations

9777 Wilshire Blvd
Ste 507
Beverly Hills, CA 90212
Phone (310) 859-0505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479600000000",
    "number": "1710420948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD",
            "address_2": "#507",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121910",
            "telephone_number": "310-988-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD",
            "address_2": "#507",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121910",
            "telephone_number": "310-988-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RYAN K. I. DAVIS, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-20",
        "last_updated": "2016-11-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-988-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A108035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Health Institute, Beverly Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; 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.