CHARLES R DAVIS
NPI 1194840231
Psychiatry & Neurology - Psychiatry in San Ysidro, CA

Q: What is Charles Davis's NPI number?

The NPI number for Charles Davis is 1194840231. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Charles Davis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Charles Davis was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment

4004 BEYER BLVD, SAN YSIDRO, CA 92173(303) 579-9268 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Apr 4, 2024, Aug 10, 2021 and 1 more (4 updates tracked since 2018).

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About Charles R Davis NPPES

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

CHARLES R DAVIS (NPI 1194840231) is an individual psychiatry provider in San Ysidro, California, licensed in California (G41219) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1976).

NPPES Registry Identity

NPI1194840231

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameCHARLES R DAVIS

Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 662-4100

Phone(303) 579-9268

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1976

Enumeration DateMarch 20, 2007

Last NPPES UpdateSeptember 19, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1194840231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · G41219

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 21195 (CO)

4004 BEYER BLVD, San Ysidro, CA 92173

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Other Identifiers 3

Other110519276Medicare Railroad

MedicaidPENDINGCO

Medicaid01211952CO

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

Charles R Davis 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 ID2668460130

PECOS Enrollment IDI20210319000121, I20240603002059

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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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.

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)