Active NPI
John Humphrey Davis IV
- Registered Nurse
- Oakland, CA
National Provider Identifier
1902716855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95350837
- Practice address
- 9925 International Blvd
Oakland, CA 94603-2558 - Phone
- (510) 777-1177
- NPI assigned
- Sep 11, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95350837 | CA | Primary |
Addresses
Primary practice location
9925 International Blvd
Oakland, CA 94603-2558
Mailing address
2174 Peakview Ave
Sacramento, CA 95835-2119
Phone (916) 208-6294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1902716855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2174 PEAKVIEW AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958352119",
"telephone_number": "916-208-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946032558",
"telephone_number": "510-777-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOHN",
"middle_name": "HUMPHREY",
"name_prefix": "Mr.",
"name_suffix": "IV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95350837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.