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

Mr. Calvin Travon Davis, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1831814508

Mr. Calvin Travon Davis, PHYSICIANASSISTANT is a Medical Physician Assistant in Vernon, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

4580 Pacific Blvd (stacy Medical Center)
Vernon, CA 90058
Phone: (323) 584-0779
Fax: (323) 582-2282
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 15426 (CA)

Record details

NPI number1831814508
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022