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

Charles R Davis

Individual provider Family Medicine Physician · NPI 1194840231

Charles R Davis is a Family Practice in San Ysidro, California. Graduated from University of Michigan Medical School in 1976, 50 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Colorado.

Years since qualifying
50
Trained at
University of Michigan Medical School
Licensed in
CA, CO
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4004 Beyer Blvd
San Ysidro, CA 92173-2007
Phone: (303) 579-9268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G41219 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 21195 (CO)

Record details

NPI number1194840231
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address1601 Precision Park Ln, San Diego, CA 92173-1345

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1976 (50 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in San Ysidro