| Mrs Deatria Davis, | |
|
2600 S. El Camino Real, San Mateo, CA 94403 | |
| (209) 752-1965 | |
| Not Available |
| Full Name | Mrs Deatria Davis |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 14 Years |
| Location | 2600 S. El Camino Real, San Mateo, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659641835 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk Medical Group | 6103116348 | 19 |
| Lgtc Group | 0749795102 | 22 |
| Entity Name | WK Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588083992 PECOS PAC ID: 6103116348 Enrollment ID: O20160601000362 |
| Entity Name | Lgtc Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881482941 PECOS PAC ID: 0749795102 Enrollment ID: O20250715000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deatria Davis, 231 Gee Gee Ave, Los Banos, CA 93635-3278 Ph: (209) 752-1965 | Mrs Deatria Davis, 2600 S. El Camino Real, San Mateo, CA 94403 Ph: (209) 752-1965 |
Miss Veronica Pena Barajas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas Ste 200, San Mateo, CA 94403 Phone: 650-372-8540 |
Sonia Elena Mays, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas Ste 200, San Mateo, CA 94403 Phone: 111-111-1111 |
Diana Moore, MA LMFT LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 650-906-3978 Fax: 650-570-4283 |
Bill Haddock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2251 Palm Ave, San Mateo, CA 94403 Phone: 650-513-6500 |
Gloria E Gutierrez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3080 La Selva St, San Mateo, CA 94403 Phone: 650-573-2076 |
Mr. Paul Saito, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3435 |
Lisa Kearns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1670 S Amphlett Blvd, Suite 115, San Mateo, CA 94402 Phone: 650-349-7969 Fax: 650-349-1103 |