Individual provider Active NPI

Stacy Kathryn Amer-Davis, N.P.

  • Nurse Practitioner
  • National City, CA
National Provider Identifier
1750661641
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP20267 Issued in CA
Practice address
2400 E 4TH St
National City, CA 91950-2026
Phone
(619) 470-4321
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X NP20267 CA
Nurse Practitioner 363L00000X NP20267 CA Primary
Nurse Practitioner 363L00000X 4981901 ID

Addresses

Primary practice location

2400 E 4TH St
National City, CA 91950-2026

Mailing address

File No 54826
Los Angeles, CA 90074-4826
Phone (562) 468-0227

Other practice location 1

2120 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-6944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000426 CA Practitioner - Nurse Practitioner 9436317633 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians
Regents of the University of CaliforniaGroup PAC ID 3577476761, shared by 18 NPIs, 2,047 clinicians

Practice addresses (Care Compare)

130 Cedar Rd
Vista, CA 92083-5102
Phone (760) 806-5400

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP20267CAMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
20267CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Current Accepting new patients
Scripps Health Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Undersea and Hyperbaric Medicine CurrentSince Oct 14, 2016 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Scripps Health Nurse Practitioner CurrentSince Sep 11, 2017 Accepting new patients
Regents of the University of California - Ucsd Medical Group Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Sep 11, 2017 Accepting new patients
Regents of the University of California Nurse Practitioner Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Nurse Practitioner CurrentSince Oct 14, 2016 Accepting new patients
Regents of the University of California CurrentSince Oct 14, 2016 Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
McDonough County Hospital District Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

130 Cedar Rd
Vista, CA 92083
Phone (760) 806-5400

Interoperability endpoints

  • Direct secure messaging: samerdavis256664@direct.llu.edu
  • Direct secure messaging: samerdavis37318@scrippshlth.medalliesdirect.net

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1750661641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE NO 54826",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744826",
            "telephone_number": "562-468-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E 4TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502026",
            "telephone_number": "619-470-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 W Ironwood Center Dr",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142639",
            "country_code": "US",
            "telephone_number": "208-625-6944",
            "fax_number": "208-625-6945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMER-DAVIS",
        "first_name": "STACY",
        "middle_name": "KATHRYN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "NP20267",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP20267",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "4981901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.