Carolyn Cupps Davis, MD PHD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G32758 Issued in CA

Practice address

2864 El Prado Way
Sacramento, CA 95825-1835

Phone

(916) 482-1345

Fax

(916) 488-0284

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Carolyn Cupps Lobue Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801005970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2653",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956092653",
            "telephone_number": "916-482-1345",
            "fax_number": "916-488-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 EL PRADO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251835",
            "telephone_number": "916-482-1345",
            "fax_number": "916-488-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CAROLYN",
        "middle_name": "CUPPS",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G32758",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00017810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "LOBUE",
            "middle_name": "CUPPS",
            "prefix": "MRS.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bahja Davis
• Bobby J Davis, PSY.D.
• Brea Davis
• Brittany Elizabeth Davis
• Caleb Alexander Davis, PMHNP
• Catherine Allday Davis, M.D.
• Ceily Tracey Davis, PNP
• Christian Davis
• Christine Herrick Davis, M.A., PHD
• Cimberly Davis

• Obstetrics & Gynecology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.