DR. JASON TYLER DAVIS (MD) – Nephrology Physician, NPI 1295911469

DR. JASON TYLER DAVIS (MD) is a healthcare provider. based in San diego, California. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A100799 (CA). The NPI Number for DR. JASON TYLER DAVIS (MD) is 1295911469

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON TYLER DAVIS (MD)
NPI
1295911469
Phone
(858) 810-8000
Address
9610 GRANITE RIDGE DR
Enumeration Date
17 January 2008
Last Update Date
29 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
6192992350
Graduation Year
2005 (21 years ago)
PAC ID
4486703915
Group Practice PAC ID
9638164015
Professional Enrollment ID
I20090512000571
Address ID
CA921032120SA4060XAVEX308
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,404 NEPHROLOGY in CA

Provider Addresses for DR. JASON TYLER DAVIS (MD)

  • 9610, Granite Ridge Drive, San Diego, San Diego County, California, 92123, United States

    SUITE B

    SAN DIEGO, CA 921232684

    Phone: (858) 810-8000

    Fax: (858) 268-1911

    Type: Mailing

  • 7910 FROST ST STE 250

    SAN DIEGO, CA 921232752

    Phone: (858) 637-4800

    Fax: (858) 637-4801

    Type: Location

  • 4225 EXECUTIVE SQ STE 450

    LA JOLLA, CA 920378411

    Phone: (858) 810-0000

    Fax: (858) 268-1911

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-01-18 • Largest payer in this snapshot: CALLIDITAS THERAPEUTICS US INC. ($119).

Total Amount

$123

General + Research + Ownership

Payments

3

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090512000571INephrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes948208$0
90970Dialysis services, per day, less than full month service (20 years or older)32054$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)29547$0
99214Established patient office or other outpatient visit, 30-39 minutes274112$0
90935Hemodialysis procedure with physician evaluation22376$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638164015View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCA
-CA
Nephrology, Internal MedicineCA
Nephrology, Internal MedicineCA
N E P H R O L O G YCA
Nephrology, Internal MedicineCA
Vascular Surgery, Emergency MedicineCA
-CA
Nurse PractitionerCA
Nephrology, Internal MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify DR. JASON TYLER DAVIS (MD) for billing?
Administrative and clinical systems typically use NPI 1295911469 for DR. JASON TYLER DAVIS (MD).
Is DR. JASON TYLER DAVIS (MD)'s NPI status active today?
Active status means DR. JASON TYLER DAVIS (MD)'s NPI record is not deactivated in the public file.
What services align with DR. JASON TYLER DAVIS (MD)'s listing?
DR. JASON TYLER DAVIS (MD)'s public classification highlights Nephrology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JASON TYLER DAVIS (MD)?
DR. JASON TYLER DAVIS (MD) is associated with San Diego, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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