REGENTS OF THE UNIVERSITY OF CA (NPI# 1275526329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275526329 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CA |
| Other Organization Name | UCD NUTRITIONAL ASSESMENT LAB |
| Practice Address |
Tb 156 Davis CA 95616 |
| Mailing Address |
4900 Broadway Ste 2500 Sacramento CA 95820-1532 |
| Practice Telephone | 5307522714 |
| Mailing Telephone | 9167349200 |
| Mailing Fax Number | 9167349336 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM H MCGOWAN (CFO) |
| Authorized Official Telephone | 9167349129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LAB58715F | 05 |
| Other Name | Type Code |
|---|---|
| UCD Nutritional Assesment Lab | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194705731 | Regents of The University of Ca | Clinic/Center | 10044 Wolf Rd, #a, Grass Valley, CA 95949-8193 | 2006-01-19 |
| 1245210889 | Regents of The University of Ca | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2006-01-19 |
| 1528051679 | Regents of The University of Ca | Internal Medicine | 1508 Alhambra Blvd, Sacramento, CA 95816-6510 | 2005-08-24 |
| 1164415238 | Regents of The University of Ca | Psychiatry & Neurology | 2230 Stockton Blvd, Sacramento, CA 95817-1419 | 2005-08-24 |
| 1770953960 | Regents of The University of Ca | Clinic/Center | 477 N El Camino Real, Suite A306, Encinitas, CA 92024-1328 | 2015-09-30 |
| 1992930986 | Regents of The University of Ca | Family Medicine | 4860 Y St, Ste 200, Sacramento, CA 95817-2307 | 2009-05-20 |
| 1396997458 | Regents of The University of Ca | Psychiatry & Neurology | 2825 50th St, Sacramento, CA 95817-2310 | 2008-10-21 |
| 1578728077 | Regents of The University of Ca | Clinic/Center | 2521 Stockton Blvd, Ste. 5200, Sacramento, CA 95817-2207 | 2008-07-23 |
| 1124008719 | Regents of The University of Ca | Clinic/Center | 2000 O St, Ste 210, Sacramento, CA 95811-5224 | 2006-01-19 |
| 1891775441 | Regents of The University of Ca | Clinic/Center | 3301 C St, Sacramento, CA 95816-3300 | 2006-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | REGENTS OF THE UNIVERSITY OF CALIFORNIA | 1111 Franklin St, Flr 10, Oakland, CA 94607 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA AT RIVERSIDE | 200 Universty Office Bldg, Riverside, CA 92521-0001 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE | 1855 Folsom St Ste 425, San Francisco, CA 94143-4249 |
| Street Address |
TB 156 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1164572186 | Ian J Logan | Internal Medicine | 2068 John Jones Road, Suite # 3116, Davis, CA 95616-9711 | 2007-01-11 |
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| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
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| 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.