ELIZABETH CANNON DAVIS PAC
NPI 1285720409
Physician Assistant - Medical in Walnut Creek, CA
About Elizabeth Cannon Davis Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH CANNON DAVIS PAC (NPI 1285720409) is an individual medical provider in Walnut Creek, California, licensed in California (PA54622) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Cannon Davis Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT CREEK, CA 94597
WALNUT CREEK, CA 94597
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 Elizabeth Davis's NPI number?
The NPI number for Elizabeth Davis is 1285720409. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Elizabeth Cannon Pac.
Where is Elizabeth Davis located?
Elizabeth Davis practices at 1450 Treat Blvd Ste 160, Walnut Creek, CA 94597. The listed phone number is (925) 296-9000.
What is Elizabeth Davis's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Elizabeth Davis enrolled in Medicare?
Yes. Elizabeth Davis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elizabeth Davis was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Elizabeth Cannon Davis, PAC · NPI 1285720409
Medical physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1285720409 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA54622 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 TREAT BLVD STE 160, Walnut Creek, CA 94597-2168
- **Phone:** (925) 296-9000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 6, 2018
- **Other identifiers:** Medicaid 68-0360801 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285720409) · Data from the CMS NPPES public registry.