Jennifer Lise Davis, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A101027 Issued in CA

Practice address

3160 Camino del Rio S Ste 315
San Diego, CA 92108-3835

Phone

(619) 377-9909

Fax

(619) 378-6596

NPI assigned

Oct 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jennifer.davis.1@32642.direct.athenahealth.com

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1720175862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CAMINO DEL RIO S STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083835",
            "telephone_number": "619-377-9909",
            "fax_number": "619-378-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CAMINO DEL RIO S STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083835",
            "telephone_number": "619-377-9909",
            "fax_number": "619-378-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "LISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2024-04-17",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A101027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Davis, PHD, MFT
• Jahnessa R Davis, PSYD
• Janet Marie Davis, NP
• Jasmine Rachelle Davis, PHD
• Jason Tyler Davis, MD
• Jenny Ilfeld Davis, M.D.
• Jewel S Davis
• Jonathan Reamor Davis
• Joseph Anthony Davis, PH.D.
• Kailey Brooke Davis, MD

• All providers in San Diego, CA
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.