UC DAVIS MEDICAL CENTER (NPI# 1366493124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366493124 |
| Entity Type | Organization |
| Organization Name | UC DAVIS MEDICAL CENTER |
| Practice Address |
2825 50th St Sacramento CA 95817-2308 |
| Practice Telephone | 9167030413 |
| Practice Fax Number | 9167030417 |
| Mailing Telephone | 9167030413 |
| Mailing Fax Number | 9167030417 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | BILLUR MOGHADDAM (ASSISTANT PROFESSOR) |
| Authorized Official Telephone | 9167030413 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281PC2000X |
Chronic Disease Hospital Specialization: Children |
A89124 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1558663765 | Uc Davis Medical Center | General Acute Care Hospital | 2115 42nd St, Sacramento, CA 95817-1424 | 2010-11-19 |
| 1659697845 | Uc Davis Medical Center | General Acute Care Hospital | 2521 Stockton Blvd., Sacramento, CA 95826 | 2010-04-13 |
| 1760672414 | Uc Davis Medical Center | General Acute Care Hospital | 5633 Pop Becker Dr, Sacramento, CA 95835-1714 | 2007-07-30 |
| 1285616524 | Uc Davis Medical Center | General Acute Care Hospital | 2360 Stockton Blvd, Suite 1100, Sacramento, CA 95817-2228 | 2005-11-14 |
| 1629421490 | Uc Davis Medical Center | General Acute Care Hospital | 4150 V St Ste 1200, Sacramento, CA 95817-1460 | 2016-07-18 |
| 1528449949 | Uc Davis Medical Center | General Acute Care Hospital | 4860 Y St Ste 3800, Sacramento, CA 95817-2307 | 2015-06-11 |
| 1932589082 | Uc Davis Medical Center | General Acute Care Hospital | 4860 Y St Ste 3800, Sacramento, CA 95817-2307 | 2015-06-04 |
| 1104203082 | Uc Davis Medical Center | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2015-04-30 |
| 1467896191 | Uc Davis Medical Center | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2013-04-24 |
| Street Address |
2825 50TH ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043293194 | Lauren B. Plumer | Pediatrics | 2825 50th St, Sacramento, CA 95817-2308 | 2005-11-22 |
| 1316505886 | Marie Louise Rocha | Behavioral Analyst | 2825 50th St, Sacramento, CA 95817-2310 | 2019-05-30 |
| 1982191870 | Rachel Balitsky | Behavioral Analyst | 2825 50th St, Sacramento, CA 95817-2310 | 2018-04-17 |
| 1275051534 | Ayaka Suzuki | Genetic Counselor, MS | 2825 50th St, Sacramento, CA 95817-2310 | 2017-09-06 |
| 1093239089 | Megan E Tudor | Psychologist | 2825 50th St, Uc Davis Mind Institute, Sacramento, CA 95817 | 2017-08-01 |
| 1174053177 | Meghan Rhys Miller | Psychologist | 2825 50th St, Sacramento, CA 95817-2310 | 2017-06-13 |
| 1134578099 | Andrea Schneider | Psychologist | 2825 50th St, Sacramento, CA 95817-2310 | 2016-06-10 |
| 1144691635 | Susan W Harris | Social Worker | 2825 50th St, Sacramento, CA 95817-2310 | 2015-10-09 |
| 1831575364 | Colette Defilippo | Genetic Counselor, MS | 2825 50th St, Sacramento, CA 95817-2310 | 2015-08-06 |
| 1255736476 | Rosa Denisse Rodriguez | Pediatrics | 2825 50th St, Sacramento, CA 95817-2310 | 2014-10-30 |
| 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 | 281PC2000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043243181 | Ucd Caare Center | Chronic Disease Hospital | 3300 Stockton Blvd, Sacramento, CA 95820-1451 | 2006-07-09 |
| 1902881162 | Uc Davis | Chronic Disease Hospital | 4150 V St, 2100, Sacramento, CA 95817-1460 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306111869 | University of California Los Angeles | Chronic Disease Hospital | Le Conte Ave 12 430 Chs, Los Angeles, CA 90095-1752 | 2012-03-16 |
| 1043528466 | Stanford University School of Medicine | Chronic Disease Hospital | 1000 Welch Road, Room 202h, Palo Alto, CA 94304 | 2010-09-20 |
| 1255660171 | Ucla | Chronic Disease Hospital | 10833 Le Conte Ave Rm A2-383, Chs Pediatrics Box 951752, Los Angeles, CA 90095-1752 | 2009-12-24 |
| 1083942254 | University of California, San Francisco | Chronic Disease Hospital | 533 Parnassus Ave Rm U585, Box 0748, San Francisco, CA 94143-2208 | 2009-11-30 |
| 1144320722 | Kristen Elizabeth Knocke | Chronic Disease Hospital | 505 Parnassus Ave Rm C152, Box 0622, San Francisco, CA 94143-2204 | 2006-09-24 |
| 1225015985 | Healthbridge Children's Hospital Orange Ca Lp | Chronic Disease Hospital | 393 S Tustin St, Orange, CA 92866-2501 | 2005-12-23 |
| 1942632948 | Elizabeth Ann Miller | Chronic Disease Hospital | 4650 W Sunset Blvd, Mailstop #66, Los Angeles, CA 90027-6062 | 2013-08-01 |
| 1467797522 | Miller Children's Hospital Center | Chronic Disease Hospital | 2801 Atlantic Ave, Mch-long Beach Memorial Medical Center, Long Beach, CA 90806-1701 | 2012-11-30 |
| 1104136464 | Ucsf Medical Center | Chronic Disease Hospital | 513 Parnassus Ave, Suite S672 D, San Francisco, CA 94143-2205 | 2010-10-20 |
| 1518120450 | Universtiy California Medical Center, Irvine | Chronic Disease Hospital | 101 The City Dr S, Route 203, Bldg. 3, Orange, CA 92868-3201 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.