Reno Zachery Davenport, PTA

Medicare standing: 2 flags on the record; Listed below.
Plans that list them: Not verified; Not the same as out of network.
Office: 1

On the public record

Medicare does not list them as allowed to order and refer
California licence: Delinquent

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Reno Zachery Davenport’s office at (408) 247-7278 to ask if they take your plan before you enroll.

California Medical Board record

Licence G50488 · Delinquent

Licence status: Delinquent · since 1983 · expires 2024-11-30 · University of Southern California Keck School of Medicine.

License renewal fee has not been paid. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Professional record

NPI: 1619635828
Licence: CA 50488California G50488: Delinquent · expires 2024-11-30

More record details

Sole proprietor: No
Taxonomy: Federal specialty code 225200000X (225200000X)
Mailing address: 1050 Bird Ave, San Jose, CA, 95125
NPI first listed: 2021-12-05
NPI last updated: 2021-12-05
NPI record certified: 2021-12-05

This is when the NPI record was last certified, not a medical board exam.