JAKE DAVIS
NPI 1063094092
Counselor - Addiction (Substance Use Disorder) in Lincoln Heights, CA

Active since April 28, 2021
3619 N MISSION RD, LINCOLN HEIGHTS, CA 90031(213) 721-0010 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jake Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE DAVIS (NPI 1063094092) is an individual addiction (substance use disorder) provider in Lincoln Heights, California and active in the NPI registry since April 2021. He maintains a secondary practice location in North Hollywood.

NPPES Registry Identity

NPI1063094092
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAKE DAVIS
Location Address3619 N MISSION RDLincoln Heights, CA 90031-3136
Mailing Address3619 N Mission RdLincoln Heights, CA 90031-3136 · (213) 721-0010
Sole ProprietorNo
Enumeration DateApril 28, 2021
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
NPI 1063094092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3619 N MISSION RD, Lincoln Heights, CA 90031

Secondary Practice Location 1

Location 111027 Burbank BlvdNorth Hollywood, CA 91601-2431 · Phone (818) 985-8323

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LOS ANGELES, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LOS ANGELES, CA 90031
Licensed Vocational Nurse
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Registered Nurse
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Davis's NPI number?

The NPI number for Jake Davis is 1063094092. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Jake Davis located?

Jake Davis practices at 3619 N Mission Rd, Lincoln Heights, CA 90031. The listed phone number is (213) 721-0010.

What is Jake Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jake Davis was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.