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DR. DAVID DAVILA MD
NPI 1922741016
Family Medicine in San Diego, CA

Active since April 15, 2022PECOS Enrolled
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 280-4213 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2025, Apr 15, 2022 (2 updates tracked since 2022).

About Dr. David Davila Md NPPES

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

DR. DAVID DAVILA MD (NPI 1922741016) is an individual family medicine provider in San Diego, California, licensed in California (A190037) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2022).

NPPES Registry Identity

NPI1922741016
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID DAVILACredential: MD
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608
Phone(619) 280-4213
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2022
Enumeration DateApril 15, 2022
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1922741016 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 · A190037
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.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Davila Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941706030
PECOS Enrollment IDI20250929001360
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

2

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

Centro De Salud De La Comunidad De San Ysidro, Inc.
Federally Qualified Health Center (FQHC)
1136 D AVENUE
National City, CA 91950
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1003869363 (619) 336-2300
La Maestra Family Clinic Inc
Federally Qualified Health Center (FQHC)
1032 BROADWAY
El Cajon, CA 92021
  • Reassigned Medicare billing, California enrollment
  • 102 clinicians in this Medicare group
NPI 1134590086 (619) 584-1612

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 92105 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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. DORA DOAN O.D.
Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 961-0803
DIANA P ALVAREZ MSW
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 295-6047
ANTOINETTE KIM LIEU PHARMD
Pharmacist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-7013
KALEELAH RAE, NAJA MUHAMMAD
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 280-4213
DR. ADLA TESSIER M.D.
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
San Diego County (619) 255-9155
CYNTHIA MIRANDA PSYD
Psychologist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-8765
TONYA DANIELLE DANIEL LCSW
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-1612
SAMANTHA GOGGIN MD
Pediatrics
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 255-9154

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 David Davila's NPI number?

The NPI number for David Davila is 1922741016. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is David Davila located?

David Davila practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 280-4213.

What is David Davila's specialty?

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

Is David Davila enrolled in Medicare?

Yes. David Davila is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Davila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Davila reassigns Medicare benefits to 2 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (National City, CA) and La Maestra Family Clinic Inc (El Cajon, CA). Each 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 David Davila'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 David Davila was last updated on September 12, 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.