ANNA DAVILA PA
NPI 1205079514
Physician Assistant - Surgical in Modesto, CA

Active since April 16, 2009PECOS EnrolledAccepts Medicare Assignment
1001 SYLVAN AVE STE A, MODESTO, CA 95350(209) 422-6120 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Jan 20, 2023 (2 updates tracked since 2023).

About Anna Davila Pa NPPES

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

ANNA DAVILA PA (NPI 1205079514) is an individual surgical provider in Modesto, California, licensed in New York (013253) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of City University Of New York School Of Medicine (2009).

NPPES Registry Identity

NPI1205079514
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANNA DAVILACredential: PA
Location Address1001 SYLVAN AVE STE AModesto, CA 95350-1699
Mailing Address1001 Sylvan Ave Ste AModesto, CA 95350-1699 · (094) 226-1202
Sole ProprietorYes
Medical School CMSCity University Of New York School Of MedicineGraduated 2009
Enumeration DateApril 16, 2009
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1205079514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 013253
1001 SYLVAN AVE STE A, Modesto, CA 95350

Secondary Practice Locations 2

Location 1506 Lenox AveNew York, NY 10037-1802 · Phone (212) 939-3526
Location 21552 Coffee Rd Ste 200Modesto, CA 95355-3122 · Phone (209) 248-7168

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

Anna Davila Pa 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 ID5496947202
PECOS Enrollment IDI20211220002073
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.

Other Providers at the Same Location NPPES 7

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

Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Nurse Practitioner (Family)
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Surgery
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Surgery (Trauma Surgery)
1001 SYLVAN AVE STE A
MODESTO, CA 95350
Physician Assistant (Surgical)
1001 SYLVAN AVE STE A
MODESTO, CA 95350

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 Anna Davila's NPI number?

The NPI number for Anna Davila is 1205079514. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Anna Davila located?

Anna Davila practices at 1001 Sylvan Ave Ste A, Modesto, CA 95350. The listed phone number is (209) 422-6120.

What is Anna Davila's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Anna Davila enrolled in Medicare?

Yes. Anna Davila 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 Anna Davila was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.