Active NPI
Alec James Davenport
- Social Worker
- Los Angeles, CA
National Provider Identifier
1801676499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 115605
- Practice address
- 1891 Effie St
Los Angeles, CA 90026-1711 - Phone
- (323) 644-2000
- NPI assigned
- Oct 2, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 115605 | CA | Primary |
Addresses
Primary practice location
1891 Effie St
Los Angeles, CA 90026-1711
Mailing address
1207 Miramar St Apt 114
Los Angeles, CA 90026-6155
Phone (858) 805-1254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115605 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1801676499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 MIRAMAR ST APT 114",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900266155",
"telephone_number": "858-805-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 EFFIE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900261711",
"telephone_number": "323-644-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "ALEC",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "115605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.