DEIRDRE SHAWNA DAVIS MD
NPI 1265921365
Family Medicine in San Diego, CA

Q: What is Deirdre Davis's NPI number?

The NPI number for Deirdre Davis is 1265921365. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Q: What is Deirdre Davis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Deirdre Davis was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 03, 2018PECOS EnrolledAccepts Medicare Assignment

950 S EUCLID AVE, SAN DIEGO, CA 92114(619) 662-4100 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Deirdre Shawna Davis Md NPPES

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

DEIRDRE SHAWNA DAVIS MD (NPI 1265921365) is an individual family medicine provider in San Diego, California, licensed in California (A165432) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2018).

NPPES Registry Identity

NPI1265921365

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDEIRDRE SHAWNA DAVISCredential: MD

Location Address950 S EUCLID AVESan Diego, CA 92114-6201

Mailing Address950 S Euclid AveSan Diego, CA 92114-6201 · (619) 662-4100

Phone(619) 662-4100

Sole ProprietorYes

Medical School CMSMichigan State University College Of Human MedicineGraduated 2018

Enumeration DateMay 3, 2018

Last NPPES UpdateAugust 31, 2021

NPPES CertifiedAugust 31, 2021

✔ NPI 1265921365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A165432

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

950 S EUCLID AVE, San Diego, CA 92114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deirdre Shawna Davis Md 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 ID5294129318

PECOS Enrollment IDI20220304002218

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.

Medicare Billing Reassignment

Medicare enrollment records show Deirdre Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro, Inc.

Same address

Federally Qualified Health Center (FQHC)

950 S EUCLID AVE
San Diego, CA 92114

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1538262092 (619) 662-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

60 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92114 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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 16

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

MR. ROGELIO MARTIN TURNER RDA

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