Active NPI
Lauren Davis
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1841550233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 20823
- Practice address
- 9300 Campus Point Drive
UC San Diego Thornton Hospital
San Diego, CA 92037 - Phone
- (858) 657-6590
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 20823 | CA | Primary |
Addresses
Primary practice location
9300 Campus Point Drive
UC San Diego Thornton Hospital
San Diego, CA 92037
Mailing address
2102 Upas St
San Diego, CA 92104-4046
Other practice location 1
2102 Upas St
San Diego, CA 92104-4046
Phone (646) 300-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221118001922 | CA | Practitioner - Qualified Speech Language Pathologist | 4486022670 | Practice locations: San Diego, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20823 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1841550233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 UPAS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921044046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 CAMPUS POINT DRIVE",
"address_2": "UC SAN DIEGO THORNTON HOSPITAL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-657-6590"
}
],
"practiceLocations": [
{
"address_1": "2102 Upas St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921044046",
"country_code": "US",
"telephone_number": "646-300-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "20823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.