JUSTIN LANE DAVIS (NPI# 1669823662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669823662 |
| Entity Type | Individual |
| Full Name | JUSTIN LANE DAVIS |
| Credential | D.O. |
| Practice Address |
8700 Beverly Blvd West Hollywood CA 90048-1804 |
| Mailing Address |
4140 W 190th St Ste 306 Torrance CA 90504-5513 |
| Practice Telephone | 3104238780 |
| Mailing Telephone | 3104238780 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 20A18362 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258790 | Justin B Davis | Chiropractor | 52 Heritage Ct, Woodcliff Lake, NJ 07677-8347 | 2020-02-24 |
| 1770984320 | Justin Davis | Occupational Therapist | 1719 Chapel Tree Cir, Brandon, FL 33511-9326 | 2014-09-12 |
| 1811300718 | Justin N Davis | Nurse Anesthetist, Certified Registered | 2610 S Rockingchair Rd, Paragould, AR 72450-9609 | 2014-06-09 |
| 1609189513 | Justin Michael Davis | Chiropractor | 9370 Sw Greenburg Rd # 605, Tigard, OR 97223-5442 | 2010-07-20 |
| 1114240843 | Justin Elijah Davis | Chiropractor | 607w Chandler St, Arlington, MN 55307-2127 | 2010-03-09 |
| 1043853302 | Justin William Davis | Nurse Practitioner | 110 W John Rowan Blvd, Bardstown, KY 40004-2663 | 2019-10-18 |
| 1437714375 | Justin Davis | Student in an Organized Health Care Education/Training Program | 600 Highland Ave, Madison, WI 53792-0001 | 2019-05-06 |
| 1437631330 | Justin Davis | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2018-09-06 |
| 1710464094 | Justin Davis | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-07-19 |
| 1205327525 | Justin W Davis | Surgery | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-05-22 |
| Street Address |
8700 BEVERLY BLVD |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90048-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910983 | Denise A Barbuto | Specialist | 8700 Beverly Blvd, Rm 8725, West Hollywood, CA 90048-1804 | 2005-05-24 |
| 1609481688 | Shawn Younessi Md Inc | Internal Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-15 |
| 1447865860 | Elyssa Bangunan Rivero | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-11 |
| 1508471301 | Matthew Ryan Beckelman | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-09 |
| 1255941514 | Josias Cerritos Escobar | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-08-03 |
| 1841818945 | Jocelyn Chaing | Pharmacist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-06 |
| 1992322200 | Kessia Reis | Nurse Anesthetist, Certified Registered | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-02 |
| 1154947695 | Prime 5 Medical Group Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-21 |
| 1770108672 | Pegah Panirian | Podiatrist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-16 |
| 1891310934 | Steven Heer | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194244293 | Los Angeles Pain Management Medical Group Inc | Emergency Medicine | 8733 Beverly Blvd Ste 400, West Hollywood, CA 90048-1842 | 2017-09-11 |
| 1033477146 | Jordan Alexander Justice | Emergency Medicine | 8700 Beverly Blvd Ste 2227, West Hollywood, CA 90048-1804 | 2012-04-26 |
| 1356637839 | Michael David Yashar | Emergency Medicine | 8700 Beverly Blvd # 1110, Cedars-sinai Med Ctr Emergency, West Hollywood, CA 90048-1804 | 2011-06-23 |
| 1861427213 | Amar Shah | Emergency Medicine | 8700 Beverly Blvd Ste 1110, Cedars - Sinai Med. Center Dept. of Emergency Medicine, West Hollywood, CA 90048-1804 | 2006-07-12 |
| 1801841812 | Shahrokh Kohanim | Emergency Medicine | 8491 W Sunset Blvd, #105, West Hollywood, CA 90069-1911 | 2006-05-24 |
| 1942821434 | Sound Physicians Platinum Group PC | Emergency Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-05-06 |
| 1558755793 | David Noorvash | Emergency Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048 | 2015-03-25 |
| 1407261167 | Christopher Lee Taicher | Emergency Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048 | 2014-06-20 |
| 1780002162 | Sharon Tang | Emergency Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2014-04-02 |
| 1437491511 | David Tseng | Emergency Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2013-03-26 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90048 |
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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.