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DR. JERRY A DAVIDSON M.D.
NPI 1922073998
Family Medicine in Simi Valley, CA

Active since February 22, 2006PECOS Enrolled
2876 SYCAMORE DR, SUITE 101, SIMI VALLEY, CA 93065(805) 527-6424(805) 522-0115 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerry A Davidson M.d. NPPES

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

DR. JERRY A DAVIDSON M.D. (NPI 1922073998) is an individual family medicine provider in Simi Valley, California, licensed in California (G33458) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922073998
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JERRY A DAVIDSONCredential: M.D.
Location Address2876 SYCAMORE DR, SUITE 101Simi Valley, CA 93065-1550
Mailing Address2876 Sycamore Dr, Suite 101Simi Valley, CA 93065-1550 · (805) 527-6424 · Fax (805) 522-0115
Phone(805) 527-6424
Fax(805) 522-0115
Sole ProprietorYes
Enumeration DateFebruary 22, 2006
Last NPPES UpdateApril 19, 2011
✔ NPI 1922073998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G33458
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2876 SYCAMORE DR, Simi Valley, CA 93065
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Other Identifiers 3

Medicaid00G334580CA
Medicare UPINA45557CA
Medicare ID-Type UnspecifiedG33458CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry A Davidson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 93065 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

TIM MCNICOLL MD INC
Family Medicine
2876 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065
Ventura County (805) 527-6424
DR. ABDUL W NAWABI M.D.
Family Medicine
2876 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065
Ventura County (805) 527-6424
DR. MARK NEIL BRUCKNER M.D.
Pediatrics
2876 SYCAMORE DR, SUITE 302
SIMI VALLEY, CA 93065
Ventura County (805) 522-4400
MRS. JENNIFER LAUREN LANE PA
Physician Assistant (Medical)
2876 SYCAMORE DR
SIMI VALLEY, CA 93065
Ventura County (805) 527-6424
MRS. SERENA MAYE FRIEDMAN M.D.
Family Medicine
2876 SYCAMORE DR, SUITE 304
SIMI VALLEY, CA 93065
Ventura County (805) 526-9242
ADVANCED PAIN MEDICAL GROUP, INC
Non-Pharmacy Dispensing Site
2876 SYCAMORE DR, SUITE 203
SIMI VALLEY, CA 93065
Ventura County (818) 348-7246
JONATHAN KUROHARA MD INC
Family Medicine
2876 SYCAMORE DR, #101
SIMI VALLEY, CA 93065
Ventura County (805) 527-6424
ADVANCED PAIN MEDICAL GROUP, INC
Pain Medicine (Interventional Pain Medicine)
2876 SYCAMORE DR, SUITE 203
SIMI VALLEY, CA 93065
Ventura County (818) 348-7246

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 Jerry Davidson's NPI number?

The NPI number for Jerry Davidson is 1922073998. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Jerry Davidson located?

Jerry Davidson practices at 2876 Sycamore Dr Suite 101, Simi Valley, CA 93065. The listed phone number is (805) 527-6424.

What is Jerry Davidson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jerry Davidson enrolled in Medicare?

Yes. Jerry Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Davidson was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.