Gary Davidson, PA
NPI 1104027093 · Physician Assistant · Panorama City, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Davidson, PA is a Physician Assistant provider in Panorama City, CA (NPI 1104027093).
Provider details
- NPI number
- 1104027093
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA20247 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2021-12-01
Frequently asked questions
- What is Gary Davidson's NPI number?
- Gary Davidson's National Provider Identifier (NPI) is 1104027093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Davidson's specialty?
- Gary Davidson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gary Davidson located?
- Gary Davidson's practice location on file with NPPES is 13652 Cantara St, Panorama City, CA 91402-5423.
- What is Gary Davidson's phone number?
- The practice phone number listed in the NPPES registry for Gary Davidson is (818) 375-2000.
- Does Gary Davidson accept Medicare?
- Gary Davidson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Davidson's NPI active?
- Yes — Gary Davidson's NPI (1104027093) is active in the NPPES registry as of the last update on 2021-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.