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

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: August 16, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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. CLINT HOANGQUOCGIA D.O.
Internal Medicine
3955 BONITA RD
BONITA, CA 91902
San Diego County (619) 528-6111
DR. JOANNE P MO DO.
Family Medicine
3955 BONITA RD
BONITA, CA 91902
San Diego County (619) 528-5000
DR. JACQUELINE HARO O.D.
Optometrist
3955 BONITA RD
BONITA, CA 91902
San Diego County (196) 409-9997
MR. WAI-CHUEN MARK SIU RPH
Pharmacist
3955 BONITA RD
BONITA, CA 91902
San Diego County (619) 409-6404
DR. FRANCISCA LAMBERT-FLISZAR MD
Internal Medicine (Rheumatology)
3955 BONITA RD
BONITA, CA 91902
San Diego County (833) 574-2273
DR. RONALD B SHORT O.D.
Optometrist
3955 BONITA RD
BONITA, CA 91902
San Diego County (619) 409-9997
SARAH HERRERA MD
Family Medicine
3955 BONITA RD
BONITA, CA 91902
San Diego County (858) 573-6400
MICHELE ALAINE DUMSTORFF PHARM. D.
Pharmacist
3955 BONITA RD
BONITA, CA 91902
San Diego County (619) 409-6404

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 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.

Where is Isaac Davis located?

Isaac Davis practices at 3955 Bonita Rd, Bonita, CA 91902. The listed phone number is (800) 291-6054.

What is Isaac Davis's specialty?

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

Is Isaac Davis enrolled in Medicare?

Yes. Isaac Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 13 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.