DR. DANTAE D DAVIES MD
NPI 1942428461
Specialist in Simi Valley, CA

Active since April 22, 2007
1189 SWALLOW LN STE 201, SIMI VALLEY, CA 93065(805) 577-7977(805) 577-0745 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 9, 2017, Sep 13, 2017 (2 updates tracked since 2017).

About Dr. Dantae D Davies Md NPPES

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

DR. DANTAE D DAVIES MD (NPI 1942428461) is a healthcare organization registered as a specialist in Simi Valley, California and active in the NPI registry since April 2007. The organization lists Dantae D. Davies, President, as its authorized official.

NPPES Registry Identity

NPI1942428461
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDR. DANTAE D DAVIES MD
Location Address1189 SWALLOW LN STE 201Simi Valley, CA 93065-3157
Mailing Address1189 Swallow Lane, Suite 201Simi Valley, CA 93065-3157 · (805) 577-7977 · Fax (805) 577-0745
Fax(805) 577-0745
Organization SubpartNo
Authorized OfficialDantae D. DaviesPresident · (805) 577-7977
Enumeration DateApril 22, 2007
Last NPPES UpdateNovember 9, 20172 updates tracked since enumeration
NPI 1942428461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G28898
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedSurgeryTaxonomy 208600000X · License G28898 (CA)
1189 SWALLOW LN STE 201, Simi Valley, CA 93065

Other Identifiers 3

Medicare UPINA43902CA
Medicare ID-Type UnspecifiedG288983BCA
Medicaid00G288980CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942428461, enumerated as an "organization" on April 22, 2007.

The provider is located at 1189 SWALLOW LN STE 201 SIMI VALLEY, CA 93065 and the phone number is (805) 577-7977.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.