Individual provider Active NPI

Tyree Ozell Davie, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1760966089
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A189072 Issued in CA
Practice address
3946 Norwood Ave
Sacramento, CA 95838-3300
Phone
(916) 737-5555
NPI assigned
Sep 21, 2018
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A189072 CA Primary

Addresses

Primary practice location

3946 Norwood Ave
Sacramento, CA 95838-3300

Mailing address

3946 Norwood Ave
Sacramento, CA 95838-3300
Phone (916) 737-5555

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920003773 CA Practitioner - Family Practice 6406200740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspace HealthGroup PAC ID 8426157975, 29 clinicians

Practice addresses (Care Compare)

3946 Norwood Ave
Sacramento, CA 95838-3300
Phone (916) 469-4698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Oct 2, 2023 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Oct 2, 2023 Accepting new patients
Wellspace Health Past Accepting new patients
Wellspace Health Past Accepting new patients
Wellspace Health Past Accepting new patients

Locations

7777 Sunrise Blvd
Ste 2500
Citrus Hts, CA 95610
Phone (562) 997-2171

10423 Old Placerville Rd
Ste A
Sacramento, CA 95827
Phone (916) 569-8600

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

3441 Marysville Blvd
Sacramento, CA 95838
Phone (916) 563-7200

3946 Norwood Ave
Sacramento, CA 95838
Phone (916) 561-5925

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: tdavie769602@direct.ochin.org
  • Direct secure messaging: tyree.davie.p1@direct.wellspacehealth.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1760966089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 NORWOOD AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383300",
            "telephone_number": "916-737-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 NORWOOD AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383300",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIE",
        "first_name": "TYREE",
        "middle_name": "OZELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A189072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.