MICHAEL STEVEN DAVIS


Address: 200 Cottage Ave, Ste 203, Manteca, CA 95336-4935
Phone: 2098255864

MICHAEL STEVEN DAVIS (NPI# 1225031693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225031693
Entity Type Individual
Full Name MICHAEL STEVEN DAVIS
Credential M.D.
Practice Address 200 Cottage Ave
Ste 203
Manteca
CA 95336-4935
Practice Telephone 2098255864
Practice Fax Number 2098252632
Mailing Telephone 2098255864
Mailing Fax Number 2098252632
Enumeration Date 2005-05-31
Last Update Date 2009-11-23
NPI Deactivation Date 03/17/2006
NPI Reactivation Date 2006-03-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
A41457 CA Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
A41457 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE PTAN 00A414570 01

Other Providers MICHAEL DAVIS

NPI Name Taxonomy Address Enumeration
1326676842 Michael Davis Student in an Organized Health Care Education/Training Program 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 2020-03-30
1962064691 Michael Vernon Davis I Driver 502 W Park Plz, Mattoon, IL 61938-3639 2019-07-02
1518451988 Michael Scott Davis Dentist 290 Citrus Tower Blvd Ste 104, Clermont, FL 34711-2783 2018-06-19
1629582002 Michael Davis Physical Therapist 2093 Irene Ln, Idaho Falls, ID 83404-7167 2017-11-21
1912416637 Michael Christopher Davis Registered Nurse 18945 East Redden Road, Georgetown, DE 19947 2017-09-26
1760938534 Michael Anthony Davis I Counselor 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 2016-08-31
1619423894 Michael Davis Specialist/Technologist 129 Greenvale Dr, Lexington, SC 29072-7360 2016-08-29
1376901645 Michael Davis Jr. Massage Therapist 3245 Harness Dr, Florissant, MO 63033-3715 2016-02-02
1306186978 Michael James Davis Counselor 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 2013-02-19
1689928061 Michael Arthur Davis Surgery 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 2012-11-06

Office Location

Street Address 200 COTTAGE AVE
STE 203
City MANTECA
State CA
Zip Code 95336-4935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548494974 Greater Modesto Medical Surgical Associates, Inc. Urology 200 Cottage Ave, Suite 101, Manteca, CA 95336-4935 2009-05-13
1912183153 Mchenry Medical Group, Inc. Urology 200 Cottage Ave, Sute 101, Manteca, CA 95336-4935 2008-01-17
1841471166 Russell P Carter Jr Md Inc Internal Medicine 200 Cottage Ave, Suite 201, Manteca, CA 95336-4935 2007-11-15
1477675387 Central Valley Eye Medical Group Inc. Eyewear Supplier (Equipment, not the service) 200 Cottage Ave, Ste 102, Manteca, CA 95336-4935 2007-04-04
1700942190 Sleepmed of California Durable Medical Equipment & Medical Supplies 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 2006-12-29
1760594089 Carmelita Casison Nisperos Pediatrics 200 Cottage Ave, Suite 202, Manteca, CA 95336-4935 2006-08-31
1831206432 Prabhjit S. Purewal, Md, Inc. Non-Pharmacy Dispensing Site 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 2006-08-23
1760494066 Holly Noel Reece Physician Assistant 200 Cottage Ave, Ste 103, Manteca, CA 95336-4935 2006-08-13
1225073588 Valley Associated Urology Medicare Group Inc Urology 200 Cottage Ave, Ste 101, Manteca, CA 95336-4935 2006-06-19
1649222118 Prabhjit S. Purewal, Md, Inc Specialist 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 2006-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225687676 Kasside Sahagun-escalante Behavior Technician 402 Victory Ave, Manteca, CA 95336 2019-09-09
1295253797 Adriana Pena Counselor 129 E.center Street Ste.3, Manteca, CA 95336 2017-09-05
1104352277 Native Directions Inc. Substance Abuse Rehabilitation Facility 13505 Union Rd, Manteca, CA 95336 2017-05-10
1437508389 Anna Gavin Contractor 1256 W. Lathrop Rd #376, Manteca, CA 95336 2016-06-10
1164826137 Michael M. Catz, M.d., Inc Anesthesiology 1205 E. North Street, Manteca, CA 95336 2014-10-20
1033518923 Leanne Louis Community Health Worker 129 E Center Street, #3, Manteca, CA 95336 2014-08-18
1255684122 Kenneth S. Ching, Md., Inc Anesthesiology 1205 East North Street, Manteca, CA 95336 2012-10-17
1629323043 Harpradeep Ratia Dentist 1332 E Yosemite Ave, Manteca, CA 95336 2012-07-23
1750643664 Shelley Marie Kohl Specialist/Technologist, Other 425 E. Center St Suite 1, Manteca, CA 95336 2012-06-15
1932488038 Valerie Diane Segura Behavioral Analyst 1882 Cherrywood Pl, Manteca, CA 95336 2011-08-08
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225025760 Harbhajan Singh Internal Medicine 1140 Norman Dr. #4, Manteca, CA 95336-5900 2005-09-30
1114498789 Lisa Michelle Gitthens Moses Internal Medicine 1721 W Yosemite Ave, Manteca, CA 95337-5130 2018-12-07
1396282406 Siraj K Ahmed Md Inc Internal Medicine 520 E Center St, Manteca, CA 95336-4720 2017-01-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184221137 Newport Superior Medical & Infusion Inc Internal Medicine 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 2020-10-02
1205472339 Christian Gronbeck IIi Internal Medicine 37 E Mission Ave, San Rafael, CA 94901-4208 2019-11-25
1497304497 Ralph Zitnik Internal Medicine 606 E Valerio St, Santa Barbara, CA 93103-1954 2019-09-11
1578118295 Adventist Health Physicians Network Internal Medicine 1231 W Vine St Ste 19, Lodi, CA 95240-5109 2019-08-08
1063079176 Kasra Sedarati M.d. Inc. Internal Medicine 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 2019-05-23
1124586367 Coast Concierge Medicine Inc Internal Medicine 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 2019-03-06
1801373352 Antelope Valley Lung & Sleep Institute, Inc Internal Medicine 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 2018-07-26
1659864338 Orange County Respiratory Physicians Corp Internal Medicine 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 2018-06-07
1841780301 San Joaquin Critical Care Medical Group, Inc. Internal Medicine 1801 E March Ln Ste C300, Stockton, CA 95210-6657 2018-05-10
1912408691 Northern California Medical Assoc Internal Medicine 2315 Dean St, Eureka, CA 95501-3208 2018-02-27
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Competitor

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City MANTECA
Zip Code 95336

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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