CAMILLA LEE DAVIS (NPI# 1407159288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407159288 |
| Entity Type | Individual |
| Full Name | CAMILLA LEE DAVIS |
| Credential | P.A. |
| Practice Address |
36921 Cook St Suite 102 Palm Desert CA 92211-6070 |
| Mailing Address |
Po Box 405 Mountain Center CA 92561-0450 |
| Practice Telephone | 7608369066 |
| Practice Fax Number | 7608369077 |
| Mailing Telephone | 9516590534 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2011-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-21338 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36921 COOK ST SUITE 102 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-6070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770550345 | Stephen Robert Keller | Optometrist | 36921 Cook St, Suite 104, Palm Desert, CA 92211-6070 | 2006-03-02 |
| 1700201043 | Mary Lynne Madden | Nurse Practitioner | 36921 Cook St, Suite 103, Palm Desert, CA 92211-6070 | 2014-02-24 |
| 1962651984 | Patricia L. James, M.d., Inc. | Internal Medicine | 36921 Cook St, Suite 102, Palm Desert, CA 92211-6070 | 2008-09-15 |
| 1356520241 | Dung Q Le Md A Professional Corporation | Ophthalmology | 36921 Cook St, Suite 103, Palm Desert, CA 92211-6070 | 2007-10-29 |
| 1477694214 | Keller Optometric, Inc. | Optometrist | 36921 Cook St, Suite 104, Palm Desert, CA 92211-6070 | 2007-02-12 |
| 1568540417 | Erik Jan Williams | Ophthalmology | 36921 Cook St, Suite #103, Palm Desert, CA 92211-6070 | 2006-11-01 |
| 1861594137 | Dung Q Le | Ophthalmology | 36921 Cook St, Suite 103, Palm Desert, CA 92211-6070 | 2006-09-05 |
| 1689693517 | Patricia James | Emergency Medicine | 36921 Cook St, Suite 102, Palm Desert, CA 92211-6070 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949330 | Gregory D. Lanier | Physician Assistant | 36951 Cook St Ste 102, Palm Desert, CA 92211-6082 | 2005-08-17 |
| 1700274354 | Daniela Agnew | Physician Assistant | 42575 Washington St, Palm Desert, CA 92211-8850 | 2015-01-06 |
| 1659626398 | Jared Steinberg | Physician Assistant | 44139 Monterey Ave, A102, Palm Desert, CA 92260-8700 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
Please comment or provide details below to improve the information on CAMILLA LEE 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.