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GARY DAVIDSON PA
NPI 1104027093
Physician Assistant in Panorama City, CA

Active since May 30, 2007PECOS Enrolled
13652 CANTARA ST, PANORAMA CITY, CA 91402(818) 375-2000 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Davidson Pa NPPES

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

GARY DAVIDSON PA (NPI 1104027093) is an individual physician assistant in Panorama City, California, licensed in California (PA20247) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104027093
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGARY DAVIDSONCredential: PA
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address13652 Cantara StPanorama City, CA 91402-5423 · (818) 375-2000
Phone(818) 375-2000
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateDecember 1, 2021
✔ NPI 1104027093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA20247
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13652 CANTARA ST, Panorama City, CA 91402
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Davidson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JULIE KAYU HUANG PHARM.D.
Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2443
GLORIA S TONGSON NP
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
DOUGLAS L. CALDWELL MD
Psychiatry & Neurology (Psychiatry)
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
SILVIA N. COMPEAN MD
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
LILIA V LORD RD
Dietitian, Registered
13652 CANTARA ST, PANORAMA CITY
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-3484
ELAINA NGO
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-4217
TINA J WOOLFORK NP
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
ANGELINE LI PING ONG SU MD
Family Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000

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 Gary Davidson's NPI number?

The NPI number for Gary Davidson is 1104027093. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Gary Davidson located?

Gary Davidson practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2000.

What is Gary Davidson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gary Davidson enrolled in Medicare?

Yes. Gary Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Davidson was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.