SUSAN STANIK DAVIS


Address: 200 Medical Plaza, #214,365,530,420,120, Los Angeles, CA 90095
Phone: 3108250631

SUSAN STANIK DAVIS (NPI# 1780600841) 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) 1780600841
Entity Type Individual
Full Name SUSAN STANIK DAVIS
Credential MD
Practice Address 200 Medical Plaza
#214,365,530,420,120
Los Angeles
CA 90095
Mailing Address 5767 W Century Blvd
Suite 200
Los Angeles
CA 90045-5632
Practice Telephone 3108250631
Mailing Telephone 3108250631
Enumeration Date 2006-07-14
Last Update Date 2011-03-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
G31244 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G312440 05

Other Providers SUSAN DAVIS

NPI Name Taxonomy Address Enumeration
1831742196 Susan Ann Davis Community/Behavioral Health 362 Patton Ave, Cheyenne, WY 82007-1183 2019-07-16
1629639349 Susan E Davis Dentist 707 Us Highway 24 N, Buena Vista, CO 81211-9863 2019-06-24
1639739980 Susan Jean Davis Psychiatry & Neurology 4817 Medical Center Dr # 3a, Mckinney, TX 75069-1886 2019-06-18
1932768348 Susan Rae Davis Nurse Practitioner 3800 S Ocean Dr Suite 209, Hollywood, FL 33019-6614 2019-06-10
1437692274 Susan Meghan Davis Registered Nurse 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 2016-11-28
1568826493 Susan Angeline Davis Obstetrics & Gynecology 2813 Hillcrest Ave, Augusta, GA 30909-3815 2016-04-06
1578928313 Susan Melanie Davis Counselor 1254 Big Talk Ct, San Jose, CA 95120-3910 2015-12-21
1497126882 Susan Kathryn Davis Counselor 2519 E Ellendale Ave, Dallas, OR 97338-9575 2015-10-12
1942605654 Susan Davis Registered Nurse 634 Saint Marks St, Suite B, Redding, CA 96003-2553 2014-10-24
1528468022 Susan Davis Registered Nurse 9648 Parramatta Pl, Highlands Ranch, CO 80130-7156 2014-09-03

Office Location

Street Address 200 MEDICAL PLAZA
#214,365,530,420,120
City LOS ANGELES
State CA
Zip Code 90095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235107566 The Regents of The University of California Internal Medicine 200 Medical Plaza, Suite 365,530,420,250,120,214, Los Angeles, CA 90095-0001 2006-03-11
1497355366 Adrienne Elaine Bawa Registered Nurse 200 Medical Plaza, Los Angeles, CA 90095-0001 2020-10-29
1164912267 Alice K Lee Nurse Practitioner 200 Medical Plaza, Los Angeles, CA 90095-0001 2018-05-14
1295239895 James Michael Weinberger Student in an Organized Health Care Education/Training Program 200 Medical Plaza, Los Angeles, CA 90095-0001 2018-03-20
1215478847 Anahita Moshfegh Audiologist 200 Medical Plaza, Los Angeles, CA 90095-7006 2017-03-15
1518386796 Donald Elmore Dietz Iv Internal Medicine 200 Medical Plaza, Suite 365,420,120, Los Angeles, CA 90045-5631 2014-04-15
1760825590 Connie Huey Lin Allergy & Immunology 200 Medical Plaza, # 365, 420, 120, Los Angeles, CA 90024-0001 2013-04-11
1447593645 Yue Ma Otolaryngology 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 2013-04-05
1295098283 Ingrid Edshteyn Preventive Medicine 200 Medical Plaza, Sutie 365,420,120, Los Angeles, CA 90024-0001 2012-06-24
1346506920 Andrew Mehrdad Vahabzadeh-hagh Otolaryngology 200 Medical Plaza, Suite 550, Los Angeles, CA 90024-0000 2012-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982212155 Alexandra Gubin Social Worker Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 2020-07-14
1952926263 Georgina Parra Student in an Organized Health Care Education/Training Program 10833 Le Conteave, Los Angeles, CA 90095 2020-06-11
1609403575 Yagmur Muftuoglu Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 2020-03-23
1619438173 Brandon Covington Smith Student in an Organized Health Care Education/Training Program 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 2019-03-27
1184184913 Alexander Daniel Yuen Student in an Organized Health Care Education/Training Program 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 2019-03-19
1790266369 Dana Saifan Student in an Organized Health Care Education/Training Program 1000 Veteran Avenue, Los Angeles, CA 90095 2018-08-22
1427549146 Courtney Renee' Real Registered Nurse 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 2018-05-29
1932605094 Akash Atul Shah Student in an Organized Health Care Education/Training Program Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 2018-04-05
1316443435 Dane Jensen Brodke Orthopaedic Surgery 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 2018-04-05
1477058824 Thomas William Gaither Castellanos Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Urology, Los Angeles, CA 90095 2018-03-28
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366061863 Karen L. Herbst, Md, PC Internal Medicine 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 2020-04-14
1245626712 Kyrstin Lynnice Lane Internal Medicine 700 W 7th St Ste S-270d, Los Angeles, CA 90017-3768 2015-04-12
1982907010 Carol B Teutsch Internal Medicine 841 Moon Ave, Los Angeles, CA 90065-4143 2010-12-12
1851694079 Harry Weisman, M.d., F.a.c.p. Internal Medicine 100 Ucla Medical Plz Ste 220, Los Angeles, CA 90024-7004 2010-12-09
1851624878 Medical and Behavioral Consultants, Inc Internal Medicine 415 Gayley Ave, Apt #304, Los Angeles, CA 90024-2008 2009-09-09
1437380789 Sina Tebi Internal Medicine 10519 Tennessee Ave, Los Angeles, CA 90064-2327 2009-08-04
1497914550 Ines Donangelo Internal Medicine 200 Medical Plaza #530, Los Angeles, CA 90095-5442 2008-06-04
1407078215 Nissar Shah Internal Medicine 3265 S. Sepulveda Blvd., #208, Los Angeles, CA 90034 2007-05-02
1356462808 Rashmi S Mullur Internal Medicine 8700 Beverly Blvd, Suite B-131, Division of Endocrinology Cedars Sinai Medical Center, Los Angeles, CA 90048 2007-04-03
1952485773 Han Kyu Suh Internal Medicine 4220w 3rd St, Los Angeles, CA 90020 2006-10-25
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Competitor

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City LOS ANGELES
Zip Code 90095

Improve Information

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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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