DARRELL DAVIS (NPI# 1669083754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669083754 |
| Entity Type | Individual |
| Full Name | DARRELL DAVIS |
| Credential | RADTI |
| Practice Address |
9705 Holmes Ave Los Angeles CA 90002-3031 |
| Practice Telephone | 3232499097 |
| Practice Fax Number | 3232499121 |
| Mailing Telephone | 3232499097 |
| Mailing Fax Number | 3232499121 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1341970319 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023143237 | Darrell Wade Davis | Chiropractor | 1155 Yellowstone Ave, Ste. F, Pocatello, ID 83201-4369 | 2007-02-21 |
| 1588743983 | Darrell Wayne Davis | Speech-Language Pathologist | 2370 Nw 95th Ave, Coral Springs, FL 33065-4978 | 2006-11-04 |
| 1376639252 | Darrell Mitchell Davis | Chiropractor | 501 South Harper Street, Laurens, SC 29360 | 2006-10-05 |
| 1730728395 | Darrell Lee Davis Jr. | Case Manager/Care Coordinator | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2019-12-31 |
| 1265952428 | Darrell Taylor Davis Sr. | Counselor | 3028 Gentilly Blvd, New Orleans, LA 70122-3808 | 2017-06-20 |
| 1336669514 | Darrell Davis | Counselor | 712 W 3rd St, Little Rock, AR 72201-2220 | 2017-06-20 |
| 1821458373 | Darrell Davis | Nurse Practitioner | 217 Railroad Ave, Donaldsonville, LA 70346-2527 | 2016-02-26 |
| 1750430955 | Darrell W. Davis | Dentist | 17020 E Us Highway 40, Suite #7, Independence, MO 64055-5361 | 2007-01-09 |
| Street Address |
9705 HOLMES AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90002-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437582186 | Canon Human Services Centers Inc | Substance Abuse Rehabilitation Facility | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2013-08-16 |
| 1972113868 | Felise White | Registered Nurse | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-08-05 |
| 1194334284 | Robert Esquivel | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2020-07-24 |
| 1376180141 | Jonathan Barber | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2019-11-29 |
| 1255835344 | David John Howe | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-03-22 |
| 1073021770 | Kyser Hall Jr. | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-01-16 |
| 1952819666 | Watasha Robinson-huff | Case Manager/Care Coordinator | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2018-01-16 |
| 1588184097 | Janice M Hill | Counselor | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2017-06-26 |
| 1558753004 | Canon Human Services Centers, Inc | Community/Behavioral Health | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2015-02-20 |
| 1043613458 | Arneta Finney-beverly | Nurse Practitioner | 9705 Holmes Ave, Los Angeles, CA 90002-3031 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336253 | Ernest Durden | Technician | 10321 Standford Avenue, Los Angeles, CA 90002 | 2019-09-26 |
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1003373549 | Bridget Benninger | Marriage & Family Therapist | 10044 Compton Ave., Los Angeles, CA 90002 | 2019-02-20 |
| 1669954400 | Lorena Fajardo | Case Manager/Care Coordinator | 1776 E Century Bolvd, Los Angeles, CA 90002 | 2018-08-29 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1699294991 | Priscilla Morales | Marriage & Family Therapist | 10221 Compton Ave Ste 104&203, Los Angeles, CA 90002 | 2017-09-18 |
| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
| 1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
| 1134675853 | Jong Cho | Pharmacist | 1645 E. 103rd St, La, CA 90002 | 2016-09-01 |
| Find all providers in zip 90002 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90002 |
Please comment or provide details below to improve the information on DARRELL 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.