John Paul Davis, N.P.
Individual provider Active NPI Nurse Practitioner · Joshua Tree, CA
NPI 1760426449 · NPPES record last updated May 31, 2018
Key facts
- NPI
- 1760426449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 15101 (CA)
- Practice address
- Hi-Desert Medical Center
6601 White Feather Road
Joshua Tree, CA 92252 - Phone
- (760) 366-3711
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050502000816 | CA | Practitioner - Nurse Practitioner | 3375582026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Past | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
27300 Iris Ave
Moreno Valley, CA 92555
Phone (909) 243-0811
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15101 | CA | |
| Nurse Practitioner | 363L00000X | 15101 | CA | Yes |
Addresses
Primary practice location
Hi-Desert Medical Center
6601 White Feather Road
Joshua Tree, CA 92252
Mailing address
719 Cedar View Dr
Beaumont, CA 92223-6417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN85634 | Medicaid | CA |
Other providers in Joshua Tree, CA
- Elexus Monique Constantino
- Joshua Cook
- County of San Bernardino
- Crystal Care Villa
- David Cohen and Carolyn Cohen Acupuncture
- Desert Group Services, PC
- Desert Group Services, PC
- David Deutsch
- Nnaemeka Daniel Diribe
- Freddy Dixon
All providers in Joshua Tree, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.