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

Desmond Deon Davis

Individual provider Case Manager/Care Coordinator · NPI 1386499846

Desmond Deon Davis is a Case Manager/Care Coordinator in San Fernando, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

762 Griswold Ave
San Fernando, CA 91340-2105
Phone: (747) 500-9405
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 17869 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 17869 (CA)

Record details

NPI number1386499846
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2024
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

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