Peter K Davis, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G76574 Issued in CA

Practice address

1691 El Camino Real
Suite 400
Palo Alto, CA 94306-1053

Phone

(650) 326-8600

Fax

(650) 521-0456

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Peter K Davis Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peter K Davis MD Inc

  • Plastic Surgery Physician
  • Palo Alto, CA
  • NPI 1679386429
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1992869226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 EL CAMINO REAL",
            "address_2": "SUITE 400",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061053",
            "telephone_number": "650-326-8600",
            "fax_number": "650-521-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 EL CAMINO REAL",
            "address_2": "SUITE 400",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061053",
            "telephone_number": "650-326-8600",
            "fax_number": "650-521-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PETER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G76574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G76574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "DAVIS",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexis Suzanne Davis, MD
• Amalia Elena Davis, N.P
• Carter Haskell Davis
• Christopher J Davis, PA
• Kara Lynn Davis, DO
• Seth Joseph Davis, MD
• Stevia Brigitte Davis, NP
• Valerie L Davis
• Mindy Leigh Davison, PHARMD
• Aaron Jay Dawes, MD, PHD

• Plastic Surgery Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.