MRS. KRISTEN B DAVIS


Address: 21446 Entrada Rd, Topanga, CA 90290-3539
Phone: 3233774679

MRS. KRISTEN B DAVIS (NPI# 1578643250) 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) 1578643250
Entity Type Individual
Full Name MRS. KRISTEN B DAVIS
Other Name MISS KRISTEN RENEE BLACKMAN
Credential PA-C
Practice Address 21446 Entrada Rd
Topanga
CA 90290-3539
Practice Telephone 3233774679
Mailing Telephone 3233774679
Enumeration Date 2006-10-16
Last Update Date 2016-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA22285 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1578643250 01

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1134508682 Kristen Davis Dietitian, Registered 5413 W Genesee St, Camillus, NY 13031-2100 2015-05-29
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1609076900 Kristen Canby Davis Social Worker 521 Jack Stephens Dr, Little Rock, AR 72205-5524 2007-07-24
1902371974 Kristen B Davis Nurse Practitioner 2416 Capstone Ct, Columbus, GA 31909-2795 2018-10-05
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Office Location

Street Address 21446 ENTRADA RD
City TOPANGA
State CA
Zip Code 90290-3539

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356955595 Express Healthcare LLC Psychologist 21839 Saddle Peak Road, Topanga, CA 90290 2020-09-04
1942623061 Destinations To Recovery LLC Substance Abuse Rehabilitation Facility 22029 Canon Drive, Topanga, CA 90290 2014-01-24
1780018564 William Stuart Weil Family Medicine 1825 Ocean Front Walk, Venice, CA 90290 2013-08-28
1629311402 Destinations To Recovery LLC Substance Abuse Rehabilitation Facility 20851 Cheney Drive, Topanga, CA 90290 2013-03-31
1598098162 Minou Z Mayer Marriage & Family Therapist 21448 Entrada Road, Topanga, CA 90290 2009-09-14
1669776019 Mari Christina Oxenberg Registered Nurse 712 Hillcrest Dr, Topanga, CA 90290-3107 2010-12-28
1518287515 Laura Elizabeth Kelly Acupuncturist 19616 Walnut Trl, Topanga, CA 90290-3120 2010-06-02
1386901668 Jennifer Meininger Acupuncturist 353 S Topanga Canyon Blvd, Topanga, CA 90290-3135 2012-04-11
1841557097 Zoeacupuncture Residential Treatment Facility, Physical Disabilities 353 S Topanga Canyon Blvd, Topanga, CA 90290-3135 2012-04-12
1841368818 Topanga Medical Clinic Clinic/Center 395 S Topanga Canyon Blvd, Suite 104, Topanga, CA 90290-3143 2006-11-30
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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1356833578 Michael James Gonzalez Physician Assistant 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 2018-06-04
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1902311186 Or Solutions Inc Physician Assistant 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 2017-12-09
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Competitor

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City TOPANGA
Zip Code 90290

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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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