REGENTS OF THE UNIV OF CA (NPI# 1063401826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063401826 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIV OF CA |
| Other Organization Name | REGENTS UCDPBG IM ALLERG RHEUM |
| Practice Address |
4860 Y St Sacramento CA 95817-2307 |
| Mailing Address |
4900 Broadway Ste 2600 Sacramento CA 95820-1532 |
| Practice Telephone | 9167348046 |
| Practice Fax Number | 9167342732 |
| Mailing Telephone | 9167349200 |
| Mailing Fax Number | 9167349661 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | MR. JAMES D KIRK (CMO) |
| Authorized Official Telephone | 9167341166 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GNP000070 | 05 | |
| CA | RAILROAD MEDICARE PIN | CN4400 | 01 |
| CA | RAILROAD MEDICARE PIN | DE7275 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4844 | 01 |
| CA | GR002104V | 05 | |
| CA | RAILROAD MEDICARE PIN | CR0028 | 01 |
| CA | RAILROAD MEDICARE PIN | DA4168 | 01 |
| CA | RAILROAD MEDICARE PIN | CI4127 | 01 |
| Other Name | Type Code |
|---|---|
| Regents UCDPBG IM Allerg Rheum | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710087762 | Regents of The Univ of Ca | Pharmacy | 300 Stein Plz Rm 123, Los Angeles, CA 90095-0001 | 2006-09-22 |
| 1043208945 | Regents of The Univ of Ca | Pathology | 3301 C St Ste 1413, Sacramento, CA 95816-3300 | 2005-10-13 |
| 1053304071 | Regents of The Univ of Ca | Pathology | 3146 Tupper Hall, Davis, CA 95616 | 2005-08-24 |
| 1437142692 | Regents of The Univ of Ca | Internal Medicine | 2825 J St, Sacramento, CA 95816-4300 | 2005-08-23 |
| 1801889068 | Regents of The Univ of Ca | Surgery | 4501 X St, Sacramento, CA 95817-2229 | 2005-08-23 |
| 1427041698 | Regents of The Univ of Ca | Surgery | 2221 Stockton Blvd, Sacramento, CA 95817 | 2005-08-23 |
| 1285068783 | Regents of The Univ of Ca | Obstetrics & Gynecology | 4860 Y St, Sacramento, CA 95817-2307 | 2013-09-03 |
| 1346554474 | Regents of The Univ of Ca | Emergency Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2010-07-30 |
| 1447423959 | Regents of The Univ of Ca | Psychologist | 2825 50th St, Sacramento, CA 95817-2308 | 2008-04-04 |
| 1992830905 | Regents of The Univ of Ca | Prosthetic/Orthotic Supplier | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2007-02-22 |
| Street Address |
4860 Y ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075536 | Julianna Landon Burton | Pharmacist | 4860 Y St, Sacramento, CA 95817-2307 | 2005-07-07 |
| 1467913954 | Brandon Victor Hassid | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2019-03-27 |
| 1750853230 | Mandy Michelle Stanton | Registered Nurse | 4860 Y St, Sacramento, CA 95817-2307 | 2018-12-21 |
| 1881176543 | Wesam Hakki Alduleme | Respiratory Therapist, Registered | 4860 Y St, Sacramento, CA 95817-2307 | 2018-08-29 |
| 1174020960 | Jorge Carlos Cuza | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-04-09 |
| 1073019089 | Obinna Chukwuemeka Oko | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-03-30 |
| 1871097956 | Jonathan C Hu | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-03-22 |
| 1508390147 | Ifeanyi Cliff Onyeji | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 3500, Sacramento, CA 95817-2307 | 2017-04-19 |
| 1942733720 | Nicole Sadika Yee | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2017-04-07 |
| 1831622869 | Mark William Evans | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2017-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730441114 | Rose Chepkoech Chumo | Internal Medicine | 1020 29th St Ste 270, Sacramento, CA 95816 | 2012-06-12 |
| 1316004518 | Bob F Shapiro | Internal Medicine | 107 Scripps Dr Ste 100, Sacramento, CA 95825-6300 | 2007-01-03 |
| 1255425724 | David H. Lehman | Internal Medicine | 5025 J. Street, Suite 315, Sacramento, CA 95819-3839 | 2006-10-02 |
| 1083698062 | Douglas Roberts | Internal Medicine | 500 University Ave Ste 230, Suite 230, Sacramento, CA 95825-6524 | 2005-12-02 |
| 1891182150 | Kavitha Mattaparthi | Internal Medicine | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2015-04-23 |
| 1275948952 | Manjinder Kaur | Internal Medicine | 1020 29th St Ste 270, Sacramento, CA 95816-5173 | 2014-06-22 |
| 1932541893 | Natasha Zohuri | Internal Medicine | 1020 29th St Ste 270, Sacramento, CA 95816-5173 | 2013-07-20 |
| 1316388028 | Simran Kaur Thiara | Internal Medicine | 1020 29th St Ste 270, Sacramento, CA 95816-5173 | 2013-07-10 |
| 1144563602 | Joey Kim | Internal Medicine | 6600 Bruceville Rd, Medical Office Building 2, 1st Floor, Room 123, Sacramento, CA 95823-4671 | 2013-04-03 |
| 1033287545 | Kenneth B Wiesner | Internal Medicine | 107 Scripps Dr, #100, Sacramento, CA 95825 | 2006-12-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIV OF CA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.