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

Mr. Dallas R Davis

Individual provider Rehabilitation Practitioner · NPI 1447144068

Mr. Dallas R Davis is a Rehabilitation Practitioner in San Diego, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

5473 Kearny Villa Rd Ste 300
San Diego, CA 92123-1142
Phone: (619) 605-9393
Fax: (619) 684-7004
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 21055 (CA)
Peer Specialist Taxonomy 175T00000X (CA)

Record details

NPI number1447144068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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