Individual provider Active NPI

Brian Michael Davis, FNP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1871800318
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19998 Issued in CA
Practice address
2727 Mariposa St Ste 100
Trauma Recovery/Rape Treatment Center
San Francisco, CA 94110-1400
Phone
(415) 437-3036
NPI assigned
Sep 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19998 CA Primary

Addresses

Primary practice location

2727 Mariposa St Ste 100
Trauma Recovery/Rape Treatment Center
San Francisco, CA 94110-1400

Mailing address

260 King St
Apt 965
San Francisco, CA 94107-6400
Phone (415) 271-9270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410000353 CA Practitioner - Nurse Practitioner 5092901728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Apr 3, 2017 Accepting new patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Apr 3, 2017 Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1871800318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 KING ST",
            "address_2": "APT 965",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941076400",
            "telephone_number": "415-271-9270",
            "fax_number": "415-358-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MARIPOSA ST STE 100",
            "address_2": "TRAUMA RECOVERY/RAPE TREATMENT CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101400",
            "telephone_number": "415-437-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.