Organization Active NPI

Jonathan James Davies

  • Surgical Physician Assistant
  • Santa Clara, CA
National Provider Identifier
1720480031
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA51498 Issued in CA
Legal business name
JONATHAN JAMES DAVIES
Practice address
3234 McKinley Dr
Santa Clara, CA 95051-6765
Phone
(408) 984-2455
Fax
(408) 984-2456
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Macrina Torres, OFF
Title
Billing Manager
Phone
(408) 984-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X PA51498 CA Primary

Addresses

Primary practice location

3234 McKinley Dr
Santa Clara, CA 95051-6765

Mailing address

3234 McKinley Dr
Santa Clara, CA 95051-6765
Phone (408) 984-2455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1720480031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 MCKINLEY DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516765",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 MCKINLEY DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516765",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN JAMES DAVIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MACRINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "408-984-2455",
        "authorized_official_credential": "OFF"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA51498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.