Individual
DR. JONATHAN SAM DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2288 AUBURN BLVD STE 101, SACRAMENTO, CA 95821-1619
(916) 699-8592
Mailing address
1658 CITADELLA DR, ROSEVILLE, CA 95747-5022
(916) 699-8592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G66389
CA
207RG0100X
Gastroenterology Physician
Primary
G66389
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G66389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295891224
—
CA
Enumeration date
12/27/2006
Last updated
08/22/2025
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