JOHN PAUL DAVIS (N.P.) – Nurse Practitioner, NPI 1760426449

JOHN PAUL DAVIS (N.P.) is a healthcare provider. based in Beaumont, California. specializing in Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. 15101 (CA). The NPI Number for JOHN PAUL DAVIS (N.P.) is 1760426449

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN PAUL DAVIS (N.P.)
NPI
1760426449
Phone
Not provided
Address
719 CEDAR VIEW DR
Enumeration Date
15 June 2006
Last Update Date
31 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512430811
Graduation Year
2004 (22 years ago)
PAC ID
3375582026
Group Practice PAC ID
6103739131
Professional Enrollment ID
I20050502000816
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN PAUL DAVIS (N.P.)

  • 719, Cedar View Drive, Beaumont, Riverside County, California, 92223, United States

    BEAUMONT, CA 922236417

    Phone:

    Type: Mailing

  • Hi-Desert Medical Center, 6601, White Feather Road, Joshua Tree, San Bernardino County, California, 92252, United States

    6601 WHITE FEATHER ROAD

    JOSHUA TREE, CA 92252

    Phone: (760) 366-3711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Boston Scientific Corporation ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-31

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: 2005-05-02

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
I20050502000816INurse PractitionerCATBD

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 92223)

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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: 6103739131View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineCA
-DE
Emergency MedicineCA
Emergency MedicineCA
-CA
Emergency MedicineCA
Emergency MedicineNY

Reviews

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Frequently asked questions

Can I cross-check JOHN PAUL DAVIS (N.P.) using NPI 1760426449?
NPI 1760426449 belongs to JOHN PAUL DAVIS (N.P.); compare other details if you need extra assurance.
Is JOHN PAUL DAVIS (N.P.) still an active registrant?
JOHN PAUL DAVIS (N.P.) carries an active NPI according to the public dataset.
What clinical focus is listed for JOHN PAUL DAVIS (N.P.)?
At a glance, JOHN PAUL DAVIS (N.P.) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is JOHN PAUL DAVIS (N.P.) registered?
Use Beaumont, California as the headline location for JOHN PAUL DAVIS (N.P.) here.
When was this NPI issued?
Enumeration for JOHN PAUL DAVIS (N.P.) is noted as June 15, 2006 where the registry provides it.

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