Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carrie Davidson, PA

Individual provider Procedural Dermatology Physician · NPI 1609389329

Carrie Davidson, PA is a Physician Assistant in Rancho Mirage, California. Qualified in 2017, 9 years ago. Practices with Pacific Dermatology Institute, a 32-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

35200 Bob Hope Dr
Rancho Mirage, CA 92270-1748
Phone: (760) 328-8884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence CA55091 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence CA55091 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1609389329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 16, 2017
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021
Mailing address35200 Bob Hope Dr, Rancho Mirage, CA 92270-1748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pacific Dermatology Institute — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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