MEDICARE: JEREMIAH C. DAVIS MD

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	208000000X	Pediatrics Physician	ML60157569	WA
2	208000000X	Pediatrics Physician	MD60342987	WA
3	208000000X	Pediatrics Physician	MD167331	OR
4	208000000X	Pediatrics Physician	C153312	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952625543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMIAH C. DAVIS MD

Provider Business Mailing Address
First Line	:	1885 BAY RD
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-1312
Country	:	US
Telephone Number	:	650-330-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1885 BAY RD
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-1312
Country	:	US
Telephone Number	:	650-330-7400
Fax Number	:

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

Provider Enumeration Date	:	03/25/2010
Last Update Date	:	08/14/2019

Similar Medicare Providers

1396629671 — JAKE J LEE DDS
Practice Location Address:

1807 BAY RD
EAST PALO ALTO, CA
94303-1312

Practice Phone: 650-289-7710
Practice Fax:

1376630657 — VARSHA S GADGIL
Practice Location Address:

1885 BAY RD STE A
EAST PALO ALTO, CA
94303-1312

Practice Phone: 650-330-7457
Practice Fax:

1467539460 — AMANDA HAIMAN GERSICH M.D.
Practice Location Address:

1885 BAY RD
EAST PALO ALTO, CA
94303-1312

Practice Phone: 650-330-7400
Practice Fax: 650-321-1156

1912034463 — DR. JUSTIN CHUN WEI WU M.D.
Practice Location Address:

1885 BAY RD
EAST PALO ALTO, CA
94303-1312

Practice Phone: 650-330-7400
Practice Fax: 650-321-1156

1184957771 — SOUTH COUNTY COMMUNITY HEALTH CENTER, INC.
Practice Location Address:

1807 BAY ROAD
EAST PALO ALTO, CA
94303-1312

Practice Phone: 650-330-7407
Practice Fax: 650-321-1560

1821300138 — DR. YOGITA THAKUR DDS
Practice Location Address:

1807 BAY RD.
E PALO ALTO, CA
94303-1312

Practice Phone: 650-289-7710
Practice Fax: 650-853-1018

Directions to “ JEREMIAH C. DAVIS MD” 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.