Active NPI
Janis Davidson, JANIS DAVIDSON CPNP
- Pediatric Nurse Practitioner
- Laguna Hills, CA
National Provider Identifier
1902179138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 256324
- Practice address
- 23961 Calle de la Magdalena
#334
Laguna Hills, CA 92653-3616 - Phone
- (949) 951-5437
- NPI assigned
- Feb 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 256324 | CA | Primary |
Addresses
Primary practice location
23961 Calle de la Magdalena
#334
Laguna Hills, CA 92653-3616
Mailing address
23961 Calle de la Magdalena
#334
Laguna Hills, CA 92653-3616
Phone (949) 951-5437
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
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256324 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea View Pediatric Medical Assoc. Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Laguna Hills, CA
- NPI 1518034941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329609600000",
"number": "1902179138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23961 CALLE DE LA MAGDALENA",
"address_2": "#334",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533616",
"telephone_number": "949-951-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23961 CALLE DE LA MAGDALENA",
"address_2": "#334",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533616",
"telephone_number": "949-951-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "JANIS",
"credential": "JANIS DAVIDSON CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-19",
"last_updated": "2012-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "256324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.