REGENTS OF THE UNIV OF CA (NPI# 1477546430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477546430 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIV OF CA |
| Other Organization Name | REGENTS / UCDPBG / PED ENDOC |
| Practice Address |
2521 Stockton Blvd Sacramento CA 95817-2207 |
| Mailing Address |
4900 Broadway Suite 2600 Sacramento CA 95820-1532 |
| Practice Telephone | 9167343179 |
| Practice Fax Number | 9164562236 |
| Mailing Telephone | 9167349200 |
| Mailing Fax Number | 9167349661 |
| Enumeration Date | 2005-08-25 |
| 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 | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PIN | CI4127 | 01 |
| CA | RAILROAD MEDICARE PIN | CR0028 | 01 |
| CA | GNP000070 | 05 | |
| CA | GR002104Y | 05 | |
| CA | RAILROAD MEDICARE PIN | DE7275 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4400 | 01 |
| CA | RAILROAD MEDICARE PIN | DA4168 | 01 |
| CA | MEDICAID/CHDP PIN | ZZZP5701Z | 01 |
| CA | RAILROAD MEDICARE PIN | CN4844 | 01 |
| Other Name | Type Code |
|---|---|
| Regents / UCDPBG / Ped Endoc | 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 |
2521 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267867 | Robert David Lyons | Dentist | 2521 Stockton Blvd, Dental Clinic, Glassrock Building, Sacramento, CA 95817-2207 | 2005-07-01 |
| 1831798636 | Cynthia A Steele | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2020-10-22 |
| 1679118095 | Rodrigo Garcia Almirol Jr. | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-11-08 |
| 1487115291 | Diana Yasmin Arellano | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-03-26 |
| 1609335462 | Julia Grissinger | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2019-03-19 |
| 1659880177 | Nogah Hannah Nativ | Speech-Language Pathologist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-09-27 |
| 1528598026 | Megan Brown | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-06-16 |
| 1477083533 | Jessica Pietrowski | Speech-Language Pathologist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2017-06-12 |
| 1952836058 | Farrukh Rasool Virani | Student in an Organized Health Care Education/Training Program | 2521 Stockton Blvd, Ste 7200, Sacramento, CA 95817-2207 | 2017-04-26 |
| 1710412036 | Lindsay Olinde | Student in an Organized Health Care Education/Training Program | 2521 Stockton Blvd, Ste. 7200, Sacramento, CA 95817-2207 | 2017-04-24 |
| 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 | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079215 | Ulhas Mahabala Nadgir | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2005-08-03 |
| 1659508315 | Yvonne Lee | Pediatrics | 2516 Stockton Blvd, Uc Davis Medical Center - Pediatric Endocrinology, Sacramento, CA 95817-2208 | 2009-06-19 |
| 1720235146 | Niyati Skaria | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2008-08-27 |
| 1326203837 | Abigail Claire Gelb Fruzza | Pediatrics | 2516 Stockton Blvd, 3rd Floor, Sacramento, CA 95817-2208 | 2008-07-23 |
| 1285714378 | Floyd L Culler IIi | Pediatrics | 3814 Auburn Blvd, Suite 72, Sacramento, CA 95821-2123 | 2006-10-16 |
| 1932290855 | Bagher Mohamad Sheikholislam | Pediatrics | 5301 F Street, #209, Sacramento, CA 95819 | 2006-09-27 |
| 1447235155 | Nicole S Glaser | Pediatrics | 2516 Stockton Blvd, Ticon II, Sacramento, CA 95817-2208 | 2005-12-14 |
| 1023093499 | Dennis Michael Styne | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2005-12-08 |
| 1871586065 | Gnanagurdasan Prakasam | Pediatrics | 3814 Auburn Blvd, 72, Sacramento, CA 95821-2123 | 2005-08-24 |
| 1578555181 | Frank James Gareis | Pediatrics | 5301 F St, Ste 307, Sacramento, CA 95819-3226 | 2005-08-19 |
| Find all providers in SACRAMENTO | ||||
| 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.