CAMILLE IRENE DAVIS MD
NPI 1477134906
Pediatrics in Santa Monica, CA

Q: What is Camille Davis's NPI number?

The NPI number for Camille Davis is 1477134906. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Q: What is Camille Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Camille Davis was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 16, 2021PECOS EnrolledAccepts Medicare Assignment

1260 15TH ST STE 1024, SANTA MONICA, CA 90404(424) 259-8570(424) 259-6180 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Apr 16, 2021 (2 updates tracked since 2021).

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About Camille Irene Davis Md NPPES

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

CAMILLE IRENE DAVIS MD (NPI 1477134906) is an individual pediatrics provider in Santa Monica, California, licensed in California (A193512) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2021).

NPPES Registry Identity

NPI1477134906

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCAMILLE IRENE DAVISCredential: MD

Location Address1260 15TH ST STE 1024Santa Monica, CA 90404-1145

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(424) 259-8570

Fax(424) 259-6180

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2021

Enumeration DateApril 16, 2021

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1477134906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A193512

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License A193512 (CA)

1260 15TH ST STE 1024, Santa Monica, CA 90404

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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

Camille Irene 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 ID4385187509

PECOS Enrollment IDI20240617001451

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 90404 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

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 8

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

DR. JAMIE MARIA WIGGIN MD

Hospitalist