Account Bulk check

Robert Davis

Counselor, Addiction (Substance Use Disorder) in San Pedro, CA. Individual provider (NPI-1).

NPI number1194239558
StatusActive
Last updated in NPPESNov 1, 2026

Details

NPI
1194239558
Entity type
Individual (NPI-1)
Name
Robert Davis
Sex
Male
Sole proprietor
No
Enumeration date
Nov 21, 2017
Last updated
Nov 1, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)169600CAYes

Practice location

132 W 10th St
San Pedro, CA 90731-3702

Phone 310-514-4940

Mailing address

Po Box 328
San Pedro, CA 90733-0328

Phone 310-514-4940 · Fax 310-987-4603

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Counselor providers in San Pedro, CA

All 192 Addiction (Substance Use Disorder) Counselor providers in San Pedro · All 1,477 providers in San Pedro

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check