Individual
DR. JASON TYLER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8885 RIO SAN DIEGO DR STE 212, SAN DIEGO, CA 92108-1626
(619) 299-2350
(619) 297-8379
Mailing address
9373 HAZARD WAY STE 200, SAN DIEGO, CA 92123-1226
(858) 810-0000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A100799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100799
CA LICENSE
CA
01
—
BR072X
SO CA MEDICARE PTAN
CA
Enumeration date
01/17/2008
Last updated
06/19/2026
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