Chyron Davis, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15159 Issued in CA

Practice address

742 W Gardena Blvd
Gardena, CA 90247-5024

Phone

(310) 392-8636

Fax

(310) 392-6642

NPI assigned

Aug 24, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Share Our Selves Corporation

  • Federally Qualified Health Center (FQHC)
  • Newport Beach, CA
  • NPI 1033514708
  NPD
• Share Our Selves Corporation

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1144717778
  NPD
• Share Our Selves Corporation

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1669258612
  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1750498846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475024",
            "telephone_number": "310-392-8636",
            "fax_number": "310-392-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475024",
            "telephone_number": "310-392-8636",
            "fax_number": "310-392-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHYRON",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chyron.davis.p1@direct.venicefamilyclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "742 W Gardena Blvd",
            "city": "Gardena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902475024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David F Yoshida DC a Chiropractic Corporation
• David Farivar DMD Apc
• Lucille Sadler David, L.AC.
• George Peter Davidson, LCSW
• Lara Nicole Davis del Piccolo, OTR/L
• Clifton Isaiah Davis
• Deettra Davis
• Eliel Davis
• Irene Lynette Davis
• Jalynn Joy Davis

• Medical Physician Assistant in Gardena, CA
• Providers in Gardena, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.