REGENTS OF THE UNIV OF CA (NPI# 1417946369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417946369 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIV OF CA |
| Other Organization Name | UCD HEMOSTATIS LAB |
| Practice Address |
2315 Stockton Blvd #2205 Sacramento CA 95817-2201 |
| Mailing Address |
4900 Broadway Ste 2600 Sacramento CA 95820-1532 |
| Practice Telephone | 9167343548 |
| Mailing Telephone | 9167349200 |
| Mailing Fax Number | 9167349661 |
| Enumeration Date | 2005-10-13 |
| 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 |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | RAILROAD MEDICARE PIN | CI4127 | 01 |
| CA | RAILROAD MEDICARE PIN | CR0028 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4400 | 01 |
| CA | MEDICAID/CHDP PIN | ZZZP5701Z | 01 |
| CA | RAILROAD MEDICARE PIN | CN4844 | 01 |
| CA | RAILROAD MEDICARE PIN | DA4168 | 01 |
| CA | ZZZ59285Z | 05 | |
| CA | RAILROAD MEDICARE PIN | DE7275 | 01 |
| Other Name | Type Code |
|---|---|
| UCD Hemostatis Lab | 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 |
2315 STOCKTON BLVD #2205 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113758 | Allan Douglas Siefkin | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2005-06-09 |
| 1467053371 | David Lee Wilson Jr. | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-11-06 |
| 1477154722 | Myleen Dumagan Romarate | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-11-03 |
| 1487252425 | Kristina Marie Hernandez | General Practice | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-10-12 |
| 1386251460 | David E Canubida | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-09-23 |
| 1467064436 | Jomelyn Francisco Esteron | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-20 |
| 1750991212 | Jasmeet Singh | Pharmacist | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-08 |
| 1942810858 | Allan Russell Martin | Neurological Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-05 |
| 1093323941 | Cheng Hsuan Chen | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-16 |
| 1225656432 | Jessica Stephanie Kim | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-14 |
| 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 | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679762140 | Kieran Joseph Fitzpatrick | Pediatrics | 3155 Clairidge Way, Sacramento, CA 95821-3921 | 2007-10-19 |
| 1942494844 | Noriko Satake | Pediatrics | 2521 Stockton Blvd Fl 3, Pediatric Specialty Clinic, Glassrock Bldg, Sacramento, CA 95817-2207 | 2007-09-04 |
| 1386276954 | Jaclyn Mary Rice | Pediatrics | 2279 45th St, Sacramento, CA 95817-1514 | 2020-02-11 |
| 1023286002 | Arun Ranjan Panigrahi | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2008-02-13 |
| 1194858936 | Saunders Charles Hsu | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2007-03-13 |
| 1700943131 | Northern Calif Childrens Hematology & Oncology Med Grp Inc | Pediatrics | 5030 J Street, Suite 200, Sacramento, CA 95819 | 2007-01-03 |
| 1083701007 | Yung Yim | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2006-10-10 |
| 1457451270 | Marcio Henrique Malogolowkin | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2006-09-22 |
| 1356379556 | Yisheng Lee | Pediatrics | 5275 F Street, Sacramento, CA 95819 | 2006-06-28 |
| 1114901303 | Pat C Hardy | Pediatrics | 2516 Stockton Blvd, Department of Pediatrics 3rd Floor, Sacramento, CA 95817-2208 | 2005-12-01 |
| 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.