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MR. MICHAEL JAMES DAVIDSON NPI 1114162732


NPI Information

NPI: 1114162732
Provider Name: MR. MICHAEL JAMES DAVIDSON
Classification: Orthotist - 222Z00000X
Entity Type: Individual
Address:
11406 LOMA LINDA DR
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-4000
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MR. Michael James Davidson is an orthotist in Loma Linda, CA. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. MR. Michael James Davidson NPI is 1114162732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11406 LOMA LINDA DR
LOMA LINDA, CA
ZIP 92354-711
Phone: (909) 558-4000

The enumeration date for this NPI number is 12/10/2008 and was last updated on 12/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotistCPO1263CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1XC0012630MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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