DEIRDRE SHAWNA DAVIS (NPI# 1265921365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265921365 |
| Entity Type | Individual |
| Full Name | DEIRDRE SHAWNA DAVIS |
| Credential | MD |
| Practice Address |
1403 Lomita Blvd Fl 2 Harbor City CA 90710-2076 |
| Practice Telephone | 3105346223 |
| Mailing Telephone | 3105346223 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265083786 | Deirdre Davis | Physical Therapist | 14 Thiells Mount Ivy Rd Ste 2, Pomona, NY 10970-3038 | 2019-09-25 |
| 1417073495 | Deirdre C Davis | Physical Therapy Assistant | 1075 Bayshore Dr, Rock Hill, SC 29732-1569 | 2007-03-22 |
| 1003812819 | Deirdre A Davis | Specialist | 1140 Route 72 W, Manahawkin, NJ 08050 | 2005-06-27 |
| Street Address |
1403 LOMITA BLVD FL 2 |
| City | HARBOR CITY |
| State | CA |
| Zip Code | 90710-2076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386855120 | Nicole L Tsang | Family Medicine | 1403 Lomita Blvd Fl 2, Dept of Family Medicine, Harbor City, CA 90710-2076 | 2007-05-24 |
| 1699397513 | County of Los Angeles | Clinic/Center | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2020-05-13 |
| 1538722806 | Shawkut Amaan Ali | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2019-04-22 |
| 1710448303 | Oscar Fabian Fernandez Arce | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2019-03-27 |
| 1699262584 | Joshua James Hanson | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2018-04-17 |
| 1376040709 | Gonzalo Castaneda | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2018-04-11 |
| 1861949323 | Allen Nowikow | Pharmacist | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2016-09-01 |
| 1336472216 | Julian Andres Aguilar-hernandez | Social Worker | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2009-09-10 |
| 1912131558 | Ricardo Hamilton | Internal Medicine | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2009-05-12 |
| 1750569885 | Tinh Vuong | Family Medicine | 1403 Lomita Blvd Fl 2, Harbor City, CA 90710-2076 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
| 1316502099 | Jennifer Ilene Estey | Nurse Practitioner | 1403 Lomita Blvd Ste 307, Harbor City, CA 90710 | 2019-05-07 |
| 1104398643 | Active Life Home Care Inc | In Home Supportive Care | 760 W. Lomita Blvd., Suite 79, Harbor City, CA 90710 | 2018-12-21 |
| 1073088514 | Ez Access Transportation Corp. | Non-emergency Medical Transport (VAN) | 24328 S Vermont Ave, Suite #313, Harbor City, CA 90710 | 2018-10-11 |
| 1689192791 | County of Los Angeles Auditor Controller | Clinic/Center | 1403 Lomita Blvd., Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2017-09-08 |
| 1174041347 | Cb Carehome, Inc | Skilled Nursing Facility | 23331 Maltby Place, Harbor City, CA 90710 | 2017-09-07 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1760843213 | Karen Savoni | Social Worker | 25975 Normandie Avenue, Harbor City, CA 90710 | 2016-03-11 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1164778148 | Thermon Lenelle Carrier | Driver | 1332 W. 254th St, Apt E, Harbor City, CA 90710 | 2012-07-27 |
| Find all providers in zip 90710 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535956 | Charlie Chulhyun Park | Student in an Organized Health Care Education/Training Program | 1427 Lomita Blvd Unit 7, Harbor City, CA 90710-2097 | 2018-04-19 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1922292861 | Portia Bhattarai | Student in an Organized Health Care Education/Training Program | 1388 260th St, Harbor City, CA 90710-3365 | 2007-09-04 |
| 1689296576 | Ezequiel Adony Andrade | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-05-13 |
| 1962023275 | Jonathan Diaz | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-28 |
| 1639799109 | Abrahan Natanael Lara-pacheco | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-24 |
| 1639799273 | Danny Jajune Lee | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-23 |
| 1316567043 | Oluwafemisayo A Akinnagbe | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 200, Harbor City, CA 90710-2086 | 2020-04-22 |
| 1124648845 | Marvin Ambriz | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 200, Harbor City, CA 90710-2086 | 2020-04-22 |
| 1447870522 | Camila Alvarado | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-20 |
| Find all providers in HARBOR CITY | ||||
| City | HARBOR CITY |
| Zip Code | 90710 |
Please comment or provide details below to improve the information on DEIRDRE SHAWNA DAVIS.
| 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.