IndividualActive
Kenneth Davis
NPI 1104367952 · Community Health Worker · Oakland, CA
Kenneth Davis is a Community Health Worker provider in Oakland, CA (NPI 1104367952).
Provider details
- NPI number
- 1104367952
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1130 3rd Ave Apt 808
Oakland, CA 94606-2258
Phone: (510) 860-5112
Street-level locationGet directions
Mailing address
390 40th St
Oakland, CA 94609-2633
Registry dates
- Enumerated
- 2017-03-13
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Frequently asked questions
- What is Kenneth Davis's NPI number?
- Kenneth Davis's National Provider Identifier (NPI) is 1104367952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Davis's specialty?
- Kenneth Davis is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Kenneth Davis located?
- Kenneth Davis's practice location on file with NPPES is 1130 3rd Ave Apt 808, Oakland, CA 94606-2258.
- What is Kenneth Davis's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Davis is (510) 860-5112.
- Is Kenneth Davis's NPI active?
- Yes — Kenneth Davis's NPI (1104367952) is active in the NPPES registry as of the last update on 2024-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.