Active NPI
Timothy T Davis, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A63742
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A63742 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phyzmed Associates Inc | Pain Medicine | Current | Accepting new patients |
| Phyzmed Associates Inc | Current | Accepting new patients | |
| Source Surgery Center LLC | Current | 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Monica, CA
- NPI 1609121961
-
- Physiological Laboratory
- Santa Monica, CA
- NPI 1851785851
-
- Ambulatory Surgical Clinic/Center
- Santa Monica, CA
- NPI 1558802249
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.