Active NPI
Robert a Davis MD Inc
- Specialist
- Napa, CA
National Provider Identifier
1861523029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G23265
- Legal business name
- ROBERT A DAVIS MD INC
- Practice address
- 3443 Villa LN Ste 10
Napa, CA 94558-6417 - Phone
- (707) 294-2203
- Fax
- (707) 252-9012
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Juchau
- Title
- Office Manager
- Phone
- (707) 294-2203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G23265 | CA | Primary |
Addresses
Primary practice location
3443 Villa LN Ste 10
Napa, CA 94558-6417
Mailing address
3443 Villa LN Ste 10
Napa, CA 94558-6417
Phone (707) 294-2203
Other practice location 1
1100 Trancas St
suite 203
Napa, CA 94558-2908
Phone (707) 252-2931
Other practice location 2
1700 2nd St Ste 220
Napa, CA 94559-2455
Phone (707) 252-2931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG232650 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | radavis@robertdavis.emadirect.md |
National Provider Directory
National Provider DirectoryLocations
1100 Trancas St
Ste 203
Napa, CA 94558
Phone (707) 252-2931
3443 Villa Ln
Ste 10
Napa, CA 94558
Phone (707) 251-1867
Interoperability endpoints
- radavis@robertdavis.emadirect.md
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Napa, CA
- NPI 1255440228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561680000000",
"number": "1861523029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 VILLA LN STE 10",
"city": "NAPA",
"state": "CA",
"postal_code": "945586417",
"telephone_number": "707-294-2203",
"fax_number": "707-252-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 VILLA LN STE 10",
"city": "NAPA",
"state": "CA",
"postal_code": "945586417",
"telephone_number": "707-294-2203",
"fax_number": "707-252-9012"
}
],
"practiceLocations": [
{
"address_1": "1100 Trancas St",
"address_2": "suite 203",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945582908",
"country_code": "US",
"telephone_number": "707-252-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 2nd St Ste 220",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945592455",
"country_code": "US",
"telephone_number": "707-252-2931",
"fax_number": "707-252-9012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROBERT A DAVIS MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2019-06-28",
"status": "A",
"authorized_official_last_name": "JUCHAU",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "707-294-2203"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G23265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOG232650",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "radavis@robertdavis.emadirect.md",
"affiliation": "N",
"address_1": "3443 Villa Ln Ste 10",
"city": "Napa",
"state": "CA",
"country_code": "US",
"postal_code": "945586417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.