DANIEL DAVIS PA-C
NPI 1194173047
Physician Assistant in Los Alamitos, CA

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment
3851 KATELLA AVE STE 202, LOS ALAMITOS, CA 90720(562) 206-0177 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2021, Aug 9, 2021, Oct 19, 2017 and 2 more (5 updates tracked since 2016).

About Daniel Davis Pa-c NPPES

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

DANIEL DAVIS PA-C (NPI 1194173047) is an individual physician assistant in Los Alamitos, California, licensed in California (53557) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194173047
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL DAVISCredential: PA-C
Location Address3851 KATELLA AVE STE 202Los Alamitos, CA 90720-3497
Mailing AddressPhr Group Provider Enrollment Unit, 393 E Walnut St Fl 3Pasadena, CA 91188-0001 · (877) 608-0044 · Fax (877) 514-0903
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 1, 2016
Last NPPES UpdateOctober 12, 20215 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
NPI 1194173047 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 · 53557
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.
3851 KATELLA AVE STE 202, Los Alamitos, CA 90720

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Davis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395032858
PECOS Enrollment IDI20160927001564
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 90720 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 3

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

Physician Assistant
3851 KATELLA AVE STE 202
LOS ALAMITOS, CA 90720
Physician Assistant (Medical)
3851 KATELLA AVE STE 202
LOS ALAMITOS, CA 90720
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3851 KATELLA AVE STE 202
LOS ALAMITOS, CA 90720

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 Daniel Davis's NPI number?

The NPI number for Daniel Davis is 1194173047. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Daniel Davis located?

Daniel Davis practices at 3851 Katella Ave Ste 202, Los Alamitos, CA 90720. The listed phone number is (562) 206-0177.

What is Daniel Davis's specialty?

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

Is Daniel Davis enrolled in Medicare?

Yes. Daniel Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Daniel Davis was last updated on October 12, 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.