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Deactivated NPI 1285770073 Deactivated / Inactive NPI Male Practitioner

Dr. Michael James Davis , PhD

Audiologist • Fullerton, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 29, 2007
NPI Deactivation Date July 01, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Davis, PhD was a registered Audiologist practicing in Fullerton, CA. Throughout an active medical career spanning 13 years, Dr. Davis provided care at the practice location at 1370 BREA BLVD until profile deactivation on 2020-07-01.

Practice Location & Contact Primary Location

Practice Address

1370 Brea Blvd
Suite 105

Fullerton, CA 928354125

Telephone 7144043121
Associated Practice Facility / Clinic
🏢 Tammy A Ouellette Psy.d. Apc Facility NPI 1528246394

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Fullerton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Fullerton, CA (1598 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License CA AU 695

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Stephanie Pollard , SP

Speech-Language Pathologist

NPI 1013221621
Lauren Mitchell

Marriage & Family Therapist

NPI 1104361153
Paula Bush , MFT

Marriage & Family Therapist

NPI 1164638060

Marriage and Family Therapist

Dr. Jacqueline Parke , PsyD

Psychologist - Clinical

NPI 1245435932

Doctor of Psychology (Psy.D.)

Mayra Alvarado

Social Worker - Clinical

NPI 1659941045
Rebecca Allan , SPEECH PATHOLOGY

Speech-Language Pathologist

NPI 1952639536

SPEECHPATHOLOGY

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 01, 2020

Record deactivated on July 01, 2020

NPI Profile Active March 30, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 30, 2012

Registered at 1370 BREA BLVD, SUITE 105, FULLERTON, CA 928354125 (Tel: 7144043121)

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Updated Business Mailing Address March 30, 2012

Registered at 1370 BREA BLVD, SUITE 105, FULLERTON, CA 928354125 (Tel: 7144043121)

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Provider Name / Credentials Updated March 30, 2012

Recorded as MICHAEL DAVIS, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2012

Audiologist (License #AU 695 in CA)

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Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285770073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: March 30, 2012
Deactivation Date: July 01, 2020

Mailing Address

1370 Brea Blvd, Suite 105

Fullerton, CA 928354125

Phone: 7144043121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.