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JEROME GARY DAVIDSON MD
NPI 1114926490
Internal Medicine - Hematology & Oncology in Northridge, CA

Active since July 19, 2005
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325(818) 700-2336(818) 700-2337 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerome Gary Davidson Md NPPES

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

JEROME GARY DAVIDSON MD (NPI 1114926490) is an individual hematology & oncology provider in Northridge, California, licensed in California (A22489) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1114926490
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJEROME GARY DAVIDSONCredential: MD
Location Address18300 ROSCOE BLVDNorthridge, CA 91325-4105
Mailing AddressPo Box 11307San Bernardino, CA 92423-1307 · (818) 700-2336 · Fax (818) 700-2337
Phone(818) 700-2336
Fax(818) 700-2337
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateJune 8, 2011
✔ NPI 1114926490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · A22489
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
18300 ROSCOE BLVD, Northridge, CA 91325
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Other Identifiers 7

Medicare PINEU684ZCA
Medicare PINEO696ACA
MedicaidOOA224890CA
Medicaid1114926490CA
Medicare UPINA86526CA
Medicaid1902108293CA
Medicare NSC0163770001CA

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.

KAREN MOLINA
Counselor (Addiction (Substance Use Disorder))
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 996-1051
SABA GAFFAR, MD, INC.
Pediatrics (Neonatal-Perinatal Medicine)
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
MRS. MICHELLE PAIGE BIRDSALL FNP
Nurse Practitioner
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
DOMINICK REY AMPARANO
Nurse Practitioner (Family)
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
RIFFAT KHAN
Nurse Practitioner (Family)
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-3577
ANGELO SORIANO N.P.
Nurse Practitioner
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
MARK FARNUM M.D.
Anesthesiology
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5375
VERONICA SUSANA ZEPEDA FNP
Nurse Practitioner (Family)
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500

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 Jerome Davidson's NPI number?

The NPI number for Jerome Davidson is 1114926490. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Jerome Davidson located?

Jerome Davidson practices at 18300 Roscoe Blvd, Northridge, CA 91325. The listed phone number is (818) 700-2336.

What is Jerome Davidson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Jerome Davidson was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.