KYLA AMA DAVIS (PA-C) – Medical Physician Assistant, NPI 1972726784

KYLA AMA DAVIS (PA-C) is a healthcare provider. based in Fullerton, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA 9104116 (FL). The NPI Number for KYLA AMA DAVIS (PA-C) is 1972726784

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KYLA AMA DAVIS (PA-C)
NPI
1972726784
Phone
(714) 626-8630
Address
2141 N HARBOR BLVD STE 35000
Enumeration Date
10 April 2007
Last Update Date
19 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7145776601
Graduation Year
2006 (20 years ago)
PAC ID
4981704038
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20070703000291
Address ID
CA928862026YO4300XDRXX300

Contacts

Secure Messaging
kyladavis@sjhhandhmg.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for KYLA AMA DAVIS (PA-C)

  • 2141 N HARBOR BLVD STE 35000

    FULLERTON, CA 928353831

    Phone: (714) 626-8630

    Type: Location

  • 2251 N Harbor Blvd

    Fullerton, CA 928352601

    Phone: (714) 449-6230

    Type: Location

  • 39000 Bob Hope Dr

    Harry & Diane Rinker Building

    Rancho Mirage, CA 92270

    Phone: (760) 568-2684

    Fax: (760) 837-2202

    Type: Location

  • PO BOX 1810

    RANCHO MIRAGE, CA 922701059

    Phone: (760) 568-2684

    Type: Mailing

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: 2007-07-03

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
I20070703000291IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg21043$0
20610Aspiration and/or injection of fluid from large joint11465$0
99213Established patient office or other outpatient visit, 20-29 minutes9676$0
27447Replacement of knee joint, both sides of knee2322$0
27130Replacement of thigh bone and hip joint with prosthesis2019$0
View full utilization report →

Insurance plans in this area (ZIP 92835)

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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: 8921993205View full group profile

Reviews

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Frequently asked questions

Can I verify KYLA AMA DAVIS (PA-C) with an NPI only?
You can start verification with NPI 1972726784 for KYLA AMA DAVIS (PA-C), then check state licensing separately.
Is KYLA AMA DAVIS (PA-C) listed as active for patients and plans?
The listing shows KYLA AMA DAVIS (PA-C) as active in the NPI system.
What is KYLA AMA DAVIS (PA-C)'s specialty?
The listing groups KYLA AMA DAVIS (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect KYLA AMA DAVIS (PA-C) on a map?
Expect Fullerton, California as a primary anchor for KYLA AMA DAVIS (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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