DEANNA S DAVIS (PA) – Physician Assistant, NPI 1346219631

DEANNA S DAVIS (PA) is a healthcare provider. based in San jose, California. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 15995 (CA). The NPI Number for DEANNA S DAVIS (PA) is 1346219631

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DEANNA S DAVIS (PA)
NPI
1346219631
Phone
(408) 885-5000
Address
751 S BASCOM AVE
Enumeration Date
17 March 2006
Last Update Date
11 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4088855000
Graduation Year
2001 (25 years ago)
PAC ID
6507058203
Group Practice PAC ID
1254244973
Professional Enrollment ID
I20101013000966
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DEANNA S DAVIS (PA)

  • Santa Clara Valley Medical Center, 751, South Bascom Avenue, Buena Vista, San Jose, Santa Clara County, California, 95128, United States

    SAN JOSE, CA 951282604

    Phone: (408) 885-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-10-13

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
I20101013000966IPhysician AssistantCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95128)

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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: 1254244973View full group profile
NameSpecialtyState
-CA
Clinical PsychologistCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
-CA
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseCA
Nurse PractitionerCA
Internal Medicine, HospitalistPA
-CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What is the standard ID for DEANNA S DAVIS (PA) in the U.S.?
In the U.S., DEANNA S DAVIS (PA) is identified by NPI 1346219631.
Should I treat DEANNA S DAVIS (PA) as an active provider?
Patients and plans typically see DEANNA S DAVIS (PA) as active in the national extract.
What does the directory say DEANNA S DAVIS (PA) does?
Insurance directories may phrase it differently, but here DEANNA S DAVIS (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit DEANNA S DAVIS (PA) in San Jose, California?
For routing, start with San Jose, California for DEANNA S DAVIS (PA), then verify phone and hours locally.
Can I export DEANNA S DAVIS (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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