Jason Tyler Davis in La Jolla - Nephrology

Jason Tyler Davis - NPI 1295911469

Jason Tyler Davis is a Nephrology in La Jolla, California. Jason Tyler Davis practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Jason Tyler Davis is 1295911469. The last update date is 2021-01-29.

Jason Tyler Davis's current location address is 4225 Executive Sq Ste 450, La Jolla, California. You can contact this provider via phone number 8588100000 and fax number 8582681911. The mailing address for Jason Tyler Davis is 4225 Executive Sq Ste 450, La Jolla, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Tyler Davis
Address 4225 Executive Sq Ste 450, La Jolla, California
Phone Number 8588100000
Fax Number 8582681911
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295911469
Provider Enumeration Date 2008-01-17
Last Updated Date 2021-01-29

Provider Mailing Address Detail

Address 4225 Executive Sq Ste 450
City La Jolla
State California (CA)
Post Code 920378411
Phone Number 8588100000
Fax Number 8582681911

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No A100799
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A100799 CA CA LICENSE
BR072X CA SO CA MEDICARE PTAN

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FAQs about Jason Tyler Davis

What is the Jason Tyler Davis's 1295911469?

The Jason Tyler Davis's NPI (National Provider Identifier) Number is 1295911469. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jason Tyler Davis is physically located?

The Jason Tyler Davis is physically situated at the following address: 4225 Executive Sq Ste 450, La Jolla, CA, 920378411.

What is Jason Tyler Davis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jason Tyler Davis is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.

On what date was the 1295911469 assigned to Jason Tyler Davis?

The Jason Tyler Davis was issued its 1295911469 on 2008-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jason Tyler Davis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jason Tyler Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-29.

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