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

Justin D'Avanzo, MD

Individual provider Emergency Medicine Physician · NPI 1699301630

Justin D'Avanzo, MD is an Emergency Medicine in San Diego, California. Graduated from Tufts University School of Medicine in 2020, 6 years ago. Practices with Sierra Estrellas Emergency Physicians LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
6
Trained at
Tufts University School of Medicine
Licensed in
AZ, CA
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4647 Zion Ave Ste 1116
San Diego, CA 92120-2507
Phone: (619) 528-5164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 69521 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 177986 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699301630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2020
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Sierra Estrellas Emergency Physicians Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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