Active NPI
Matthew Rocha Davis, PHARMD
- Pharmacist
- Culver City, CA
National Provider Identifier
1871222083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61280
- Practice address
- 5012 S Slauson Ave Apt 409
Culver City, CA 90230-3439 - Phone
- (830) 305-7025
- NPI assigned
- Jun 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76900 | CA | |
| Pharmacist | 183500000X | 61280 | TX | Primary |
Addresses
Primary practice location
5012 S Slauson Ave Apt 409
Culver City, CA 90230-3439
Mailing address
5012 S Slauson Ave Apt 409
Culver City, CA 90230-3439
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76900 | CA | MD | Pharmacist |
| 61280 | TX | MD | Pharmacist |
Interoperability endpoints
- matthew.r.davis@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1871222083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 S SLAUSON AVE APT 409",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902303439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 S SLAUSON AVE APT 409",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902303439",
"telephone_number": "830-305-7025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MATTHEW",
"middle_name": "ROCHA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76900",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.