BRENT P DAVIS (NPI# 1972111870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972111870 |
| Entity Type | Individual |
| Full Name | BRENT P DAVIS |
| Practice Address |
4309 3rd Ave San Diego CA 92103-1407 |
| Practice Telephone | 6198764502 |
| Mailing Telephone | 6198764502 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
584068 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
| 1366688681 | Brent Davis | Chiropractor | 550 Rosedale Ave, Nashville, TN 37211-2048 | 2008-12-17 |
| 1619009859 | Brent Wade Davis | Family Medicine | 315 W. 9 Street, Weleetka, OK 74880-0337 | 2007-03-12 |
| 1083710149 | Brent L Davis | Preventive Medicine | 810 W Braker Ln, Austin, TX 78758-4111 | 2006-09-16 |
| 1073578696 | Brent Alan Davis | Orthopaedic Surgery | 75 Medical Park Ln, Suite B, Murphy, NC 28906-6667 | 2006-04-18 |
| 1144796079 | Brent Davis | Physical Therapist | 4500 E Sam Houston Pkwy S Ste 215, Pasadena, TX 77505-3957 | 2018-10-18 |
| 1215423926 | Brent Davis | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2018-07-05 |
| 1548784317 | Brent Joseph Davis | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2017-08-02 |
| 1992142053 | Brent Alan Davis | Nurse Anesthetist, Certified Registered | 1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 | 2013-05-30 |
| 1568731628 | Brent Michael Davis | Physician Assistant | 34 Sw 89th St, Oklahoma City, OK 73139-8510 | 2011-12-19 |
| Street Address |
4309 3RD AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889289 | New Alternatives, Inc. | Clinic/Center | 4309 3rd Ave, San Diego, CA 92103-1407 | 2007-05-14 |
| 1932716966 | Samantha Eklund | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1710594742 | Ashley Nicole Gatoloai | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1194332122 | Jacob Couture | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1861008138 | Brandy Lizette Munoz | Licensed Vocational Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-21 |
| 1356955355 | Diana Munoz | Marriage & Family Therapist | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-07 |
| 1982218160 | Ruben Dela Cruz Quiocho | Licensed Vocational Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-03 |
| 1780296905 | Gustavo Fonseca | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-08-19 |
| 1538777586 | Alexa Brozick | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| 1104449404 | Stephanie Josette Mereday | Counselor | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033672969 | Donna Kathleen Stachowicz | Registered Nurse | 7675 Mission Valley Rd, San Diego, CA 92108-4429 | 2019-04-08 |
| 1588029912 | Larry Labossiere II | Registered Nurse | 8195 Torrey Gardens Place, San Diego, CA 92129 | 2015-12-30 |
| 1407282544 | Gary Goins | Registered Nurse | 10755 Scripps Poway Pkwy # 560, San Diego, CA 92131-3924 | 2013-09-20 |
| 1073137139 | Sandra Lee Oswald | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
| 1215560693 | Italia Larocco | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-02-13 |
| 1326515990 | Joseph Michael Martin | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-10-31 |
| 1245726199 | Lindsey Harvey | Registered Nurse | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | 2018-07-03 |
| 1124327739 | Paul Smith Villaire | Registered Nurse | 34800 Bob Wilson Dr, San Diego, CA 92134 | 2011-03-22 |
| 1336303577 | Wayne David Overly | Registered Nurse | Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2008-07-16 |
| 1457474181 | Rebecca Pate | Registered Nurse | 6255 Mission Gorge Rd, San Diego, CA 92120-3505 | 2007-04-09 |
| Find all providers in SAN DIEGO | ||||
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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.