Richard S. Davis M.D. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G38620 Issued in CA

Legal business name

RICHARD S. DAVIS M.D. INC.

Practice address

624 W. Duarte Road
Suite 105
Arcadia, CA 91007-9256

Phone

(626) 446-4727

Fax

(626) 446-5663

NPI assigned

Apr 10, 2012

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Seelig Davis, M.D.NPI 1811060957

Title

Owner

Phone

(626) 446-4727

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Seelig Davis, MD

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1811060957
  Authorized official Same address or phone

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1750647111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W. DUARTE ROAD",
            "address_2": "SUITE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079256",
            "telephone_number": "626-446-4727",
            "fax_number": "626-446-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W. DUARTE ROAD",
            "address_2": "SUITE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079256",
            "telephone_number": "626-446-4727",
            "fax_number": "626-446-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. DAVIS M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SEELIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-446-4727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G38620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.