MR. ISAAC JORDAN DAVIS DO
NPI 1487232419
Internal Medicine in Bonita, CA

Q: What is Isaac Davis's NPI number?

The NPI number for Isaac Davis is 1487232419. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Isaac Davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Isaac Davis was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment

3955 BONITA RD, BONITA, CA 91902(800) 291-6054 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2025, Jun 16, 2025, Mar 31, 2021 (3 updates tracked since 2021).

On this page

About Mr. Isaac Jordan Davis Do NPPES

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

MR. ISAAC JORDAN DAVIS DO (NPI 1487232419) is an individual internal medicine provider in Bonita, California, licensed in California (20A23924) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Alabama College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1487232419

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. ISAAC JORDAN DAVISCredential: DO

Location Address3955 BONITA RDBonita, CA 91902-1230

Mailing Address6124 Laport StLa Mesa, CA 91942-4313 · (602) 481-9514

Phone(800) 291-6054

Sole ProprietorNo

Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateJune 27, 20253 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1487232419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A23924

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

3955 BONITA RD, Bonita, CA 91902

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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

Mr. Isaac Jordan Davis Do 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 ID8022555499

PECOS Enrollment IDI20250808001772

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 Reassignments

Medicare enrollment records show Isaac Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group

9.7 mi

Health Maintenance Organization

4647 ZION AVE
San Diego, CA 92120

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1225060742 (619) 528-5000

Evms Academic Physicians And Surgeons Health Services Foundation

2,318 mi

Internal Medicine

4111 MONARCH WAY, SUITE 500
Norfolk, VA 23508

Reassigned Medicare billing, Virginia enrollment
267 clinicians in this Medicare group

NPI 1003887118 (757) 451-6200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91902 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

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 20

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

DR. ENDRE AGOSTON MD

Internal Medicine