Active NPI
Davier Davon Mayes, RVS
- Vascular Specialist/Technologist Cardiovascular
- Berkeley, CA
National Provider Identifier
1932512720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Specialist/Technologist Cardiovascular
- License
- 00078027
- Practice address
- 2334 10TH St
Unit 1
Berkeley, CA 94710-2355 - Phone
- (619) 206-5662
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | 00078027 | CA | Primary |
Addresses
Primary practice location
2334 10TH St
Unit 1
Berkeley, CA 94710-2355
Mailing address
2334 10TH St
Unit 1
Berkeley, CA 94710-2355
Phone (619) 206-5662
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00078027 | CA | MD | Vascular Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490400000000",
"number": "1932512720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 10TH ST",
"address_2": "UNIT 1",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102355",
"telephone_number": "619-206-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 10TH ST",
"address_2": "UNIT 1",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102355",
"telephone_number": "619-206-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "DAVIER",
"middle_name": "DAVON",
"credential": "RVS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2017-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "246XC2903X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
"state": "CA",
"license": "00078027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.