MEDICARE: JOHANNA SUMMER DAVALOS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95250411	CA

General Provider Information

NPI Number	:	1639847171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA SUMMER DAVALOS RN

Provider Business Mailing Address
First Line	:	2845 UNION ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-6031
Country	:	US
Telephone Number	:	760-628-8068
Fax Number	:

Provider Business Practice Location Address
First Line	:	2845 UNION ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-6031
Country	:	US
Telephone Number	:	760-628-8068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2021
Last Update Date	:	08/31/2021

Similar Medicare Providers

1780906420 — SARA EMILY PEREZ R.N.
Practice Location Address:

2915 LLOYD ST
SAN DIEGO, CA
92117-6031

Practice Phone: 858-997-5029
Practice Fax: 619-684-1374

1104146729 — HEALTH GUARD FITNESS
Practice Location Address:

2915 LLOYD ST
SAN DIEGO, CA
92117-6031

Practice Phone: 858-997-5029
Practice Fax: 619-684-1374

1134580913 — MR. EMILIO CASENAVE IDC
Practice Location Address:

6031 SANDY SHORE CT
SAN DIEGO, CA
92139-1014

Practice Phone: 305-399-3752
Practice Fax:

1851343628 — DR. DENNIS RAYMOND GUTZMAN MD
Practice Location Address:

2424 BABCOCK RD , SUITE 201
SAN ANTONIO, TX
78229-6031

Practice Phone: 210-616-0462
Practice Fax: 210-616-0467

1922054683 — SCOTT E. PERSINGER LCSW
Practice Location Address:

2424 BABCOCK RD , STE 100
SAN ANTONIO, TX
78229-6031

Practice Phone: 210-430-5390
Practice Fax: 210-265-3001

1235159146 — DR. LAWRENCE L LENDERMAN MD
Practice Location Address:

2424 BABCOCK RD , SUITE 200
SAN ANTONIO, TX
78229-6031

Practice Phone: 210-616-0802
Practice Fax: 210-616-0155

Directions to “ JOHANNA SUMMER DAVALOS RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.