NPIMap

Organization Active NPI

Davis Healthcare Management Group

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1932644713
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVIS HEALTHCARE MANAGEMENT GROUP
Practice address
1203 E Vermont Ave
Anaheim, CA 92805-5622
Phone
(714) 997-2674
Fax
(206) 426-5175
NPI assigned
Jan 3, 2017
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Luisa DavisNPI 1417532896
Title
Ceo
Phone
(714) 448-1891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CA
Chiropractor 111N00000X CA
Neurology Chiropractor 111NN0400X CA
Orthopedic Chiropractor 111NX0800X CA
Family Medicine Physician 207Q00000X CA Primary
Psychiatry Physician 2084P0800X CA
Athletic Trainer 2255A2300X CA
Health Educator 174H00000X CA

Addresses

Primary practice location

1203 E Vermont Ave
Anaheim, CA 92805-5622

Mailing address

8502 E Chapman Ave Ste 458
Orange, CA 92869-2461
Phone (714) 997-2674

National Provider Directory

National Provider Directory

Locations

8502 E Chapman Ave
Orange, CA 92869
Phone (714) 288-2824

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1932644713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 E CHAPMAN AVE STE 458",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692461",
            "telephone_number": "714-997-2674",
            "fax_number": "206-426-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E VERMONT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055622",
            "telephone_number": "714-997-2674",
            "fax_number": "206-426-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS HEALTHCARE MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-448-1891"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.