MEDICARE: KATHLEEN ANNE DAVIS RN; NP

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	163WS0200X	School Registered Nurse	NP9457	CA
2	163WW0101X	Ambulatory Women's Health Care Registered Nurse	336132	CA
3	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	NP9457	CA
4	363LP2300X	Primary Care Nurse Practitioner	9457	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9457	OTHER	CA	NURSE PRACTITIONER LIC
2	336132	OTHER	CA	REGISTERED NURSE

General Provider Information

NPI Number	:	1427035344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN ANNE DAVIS RN; NP

Provider Business Mailing Address
First Line	:	3129 WOODMONT DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1454
Country	:	US
Telephone Number	:	559-930-2518
Fax Number	:

Provider Business Practice Location Address
First Line	:	1241 E DYER RD STE 1451241E
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5611
Country	:	US
Telephone Number	:	949-449-1112
Fax Number	:

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1316911811 — NANCY L HUTT FNP/ FAMILY PRACTICE
Practice Location Address:

1241 E DYER RD , SUITE 145
SANTA ANA, CA
92705-5611

Practice Phone: 714-978-4533
Practice Fax: 714-368-0843

1366719106 — VINCENT WELTER M.D.
Practice Location Address:

1241 E DYER RD , 145
SANTA ANA, CA
92705-5611

Practice Phone: 877-569-5671
Practice Fax:

1073952651 — MELISSA NATALIE BARNETT FNP
Practice Location Address:

1241 E DYER RD , 145
SANTA ANA, CA
92705-5611

Practice Phone: 718-614-1807
Practice Fax:

1942638630 — MELETTE LE BLANC-CABOT
Practice Location Address:

1241 E DYER RD
SANTA ANA, CA
92705-5611

Practice Phone: 888-306-0615
Practice Fax:

1184052581 — JAMES BUFFA PHYSICIAN ASSISTANT
Practice Location Address:

1241 E DYER RD , SUITE 145
SANTA ANA, CA
92705-5611

Practice Phone: 949-289-9754
Practice Fax:

1295119717 — MONIQUETTA OWENS NP-C
Practice Location Address:

1241 E DYER RD
SANTA ANA, CA
92705-5611

Practice Phone: 816-724-9194
Practice Fax:

Directions to “ KATHLEEN ANNE DAVIS RN; NP” 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 © 2007-2025 (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.