Individual provider Active NPI

Timothy T Davis, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Monica, CA
National Provider Identifier
1770515603
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A63742 Issued in CA
Practice address
2801 Wilshire Blvd Ste a
Santa Monica, CA 90403-4801
Phone
(310) 574-2777
Fax
(310) 315-4968
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A63742 CA Primary

Addresses

Primary practice location

2801 Wilshire Blvd Ste a
Santa Monica, CA 90403-4801

Mailing address

1112 Montana Ave # 900
Santa Monica, CA 90403-1652
Phone (310) 574-2777

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 15, 2019 through Nov 15, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63742CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phyzmed Associates Inc Pain Medicine Current Accepting new patients
Phyzmed Associates Inc CurrentSince Apr 18, 2012 Accepting new patients
Source Surgery Center LLC CurrentSince Sep 8, 2016 Accepting new patients

Locations

2428 Santa Monica Blvd
Ste 208
Santa Monica, CA 90404
Phone (310) 574-2777

2801 Wilshire Blvd
Ste B
Santa Monica, CA 90403
Phone (323) 289-2389

2811 Wilshire Blvd
Ste 850
Santa Monica, CA 90403
Phone (310) 828-7757

1112 Montana Ave
Ste 900
Santa Monica, CA 90403

2801 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 574-2777

2801 Wilshire Blvd
Ste A
Santa Monica, CA 90403
Phone (310) 547-2777

1112 Montana Ave
#900
Santa Monica, CA 90403
Phone (855) 257-4239

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1770515603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MONTANA AVE # 900",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031652",
            "telephone_number": "310-574-2777",
            "fax_number": "310-315-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WILSHIRE BLVD STE A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034801",
            "telephone_number": "310-574-2777",
            "fax_number": "310-315-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TIMOTHY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A63742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.