1. Home
  2. Directory
  3. California
  4. Santa Ana
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

BLAIRE DAVISON
NPI 1548797301
Student in an Organized Health Care Education/Training Program in Santa Ana, CA

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
1900 E 4TH ST, SANTA ANA, CA 92705(888) 988-2800 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2021, May 11, 2017 (2 updates tracked since 2017).

About Blaire Davison NPPES

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

BLAIRE DAVISON (NPI 1548797301) is an individual student in an organized health care education/training program in Santa Ana, California and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2017).

NPPES Registry Identity

NPI1548797301
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBLAIRE DAVISON
Location Address1900 E 4TH STSanta Ana, CA 92705-3962
Mailing Address1900 E 4th StSanta Ana, CA 92705-3962
Phone(888) 988-2800
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1548797301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 E 4TH ST, Santa Ana, CA 92705
Open in Google Maps ↗

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

Blaire Davison 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 ID3678805298
PECOS Enrollment IDI20200902003248
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 Reassignment

Medicare enrollment records show Blaire Davison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
7.4 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

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.

MR. MICHAEL JAMES PANOWICZ
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ALEXANDER WONG DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (833) 574-2273
DR. RHETT MARK BARTOLOME D.O.
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4675
DR. CHRISTOPHER THOMAS DONNELLY M.D.
Obstetrics & Gynecology
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4700
LILY LEE D.O.
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 674-4766
CRYSTAL CHEUNG
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ANDREW TAEHWAN SHIN DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4548
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (866) 353-5060

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 Blaire Davison's NPI number?

The NPI number for Blaire Davison is 1548797301. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Blaire Davison located?

Blaire Davison practices at 1900 E 4th St, Santa Ana, CA 92705. The listed phone number is (888) 988-2800.

What is Blaire Davison's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Blaire Davison enrolled in Medicare?

Yes. Blaire Davison 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.

Which organization bills Medicare for Blaire Davison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaire Davison reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Blaire Davison'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 Blaire Davison was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.