Individual provider · Type 1 NPI

Douglas Peter Davidson Jr., PA

Physician Assistant · San Rafael, CA

NPI number 1174294938 Active · reactivated Dec 5, 2022

Practice location

50 Acacia Ave
San Rafael, CA 94901-2230

Mailing address

38332 Maple Ct
Murrieta, CA 92562-3406

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X62399 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174294938

Douglas Peter Davidson Jr., PA's National Provider Identifier is 1174294938, issued on Sep 22, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Rafael, CA. The record was last updated on Mar 7, 2023.