| Daniel Davis, PA-C | |
|
3851 Katella Ave Ste 202, Los Alamitos, CA 90720-3497 | |
| (562) 206-0177 | |
| Not Available |
| Full Name | Daniel Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 3851 Katella Ave Ste 202, Los Alamitos, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194173047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 53557 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - South Bay | Harbor city, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | San Bernardino Medical Orthopaedic Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336187475 PECOS PAC ID: 9335045228 Enrollment ID: O20040303001330 |
| Entity Name | Beach Orthopaedic Specialty Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538606330 PECOS PAC ID: 1658655261 Enrollment ID: O20170227002245 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Davis, PA-C Phr Group Provider Enrollment Unit, 393 E Walnut St Fl 3, Pasadena, CA 91188-0001 Ph: (877) 608-0044 | Daniel Davis, PA-C 3851 Katella Ave Ste 202, Los Alamitos, CA 90720-3497 Ph: (562) 206-0177 |
Alexander Brito, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3582 Kempton Dr, Los Alamitos, CA 90720 Phone: 562-338-8809 |
Lauren Nicole Dewiggins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3851 Katella Ave Ste 202, Los Alamitos, CA 90720 Phone: 562-206-0177 |
Megan X. Chen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3851 Katella Ave Ste 202, Los Alamitos, CA 90720 Phone: 562-206-0177 Fax: 562-206-1576 |
Mr. Alfred T Reyno, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10861 Cherry Street, Suite 302, Los Alamitos, CA 90720 Phone: 562-490-1011 Fax: 562-594-9226 |
Leslie Annette Davis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 562-246-6822 Fax: 562-330-2402 |
Salma Balbas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3772 Katella Ave Ste 206, Los Alamitos, CA 90720 Phone: 562-430-4294 |
Nicholas Jay Brecht, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11302a Independence Rd, Los Alamitos, CA 90720 Phone: 562-795-2507 |