Organization Active NPI

Robert a Davis MD Inc

  • Specialist
  • Napa, CA
National Provider Identifier
1861523029
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G23265 Issued in CA
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

Updated by the provider on Jun 28, 2019

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
OOG232650MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address radavis@robertdavis.emadirect.md

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.