ELLEN LATOYA DAVIS
NPI 1487063970
Counselor - Mental Health in Rialto, CA
About Ellen Latoya Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN LATOYA DAVIS (NPI 1487063970) is an individual mental health provider in Rialto, California and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Latoya Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellen Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Ellen Davis's NPI number?
The NPI number for Ellen Davis is 1487063970. It was assigned to this individual provider in the NPPES registry on August 8, 2014.
Where is Ellen Davis located?
Ellen Davis practices at 850 E Foothill Blvd, Rialto, CA 92376. The listed phone number is (909) 421-9370.
What is Ellen Davis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ellen Davis enrolled in Medicare?
Yes. Ellen Davis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellen Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Davis reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ellen Davis was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ellen Latoya Davis · NPI 1487063970
Mental Health provider in Rialto, California. Individual provider, active in the CMS NPPES registry since August 8, 2014.
## Identity
- **NPI:** 1487063970 (Entity type: Individual)
- **Enumerated:** August 8, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 850 E FOOTHILL BLVD, Rialto, CA 92376-5230
- **Phone:** (909) 421-9370
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487063970) · Data from the CMS NPPES public registry.