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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PTAN | 00A414570 | 01 |
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 |
Street Address |
200 COTTAGE AVE STE 203 |
City | MANTECA |
State | CA |
Zip Code | 95336-4935 |
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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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 |
Find all providers in zip 95336 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
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. |
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 |
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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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.