REGENTS OF THE UNIV OF CA (NPI# 1548349830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548349830 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIV OF CA |
| Other Organization Name | DAVIS MEDICAL ASSOCIATES |
| Practice Address |
2315 Stockton Blvd Sacramento CA 95817 |
| Mailing Address |
4900 Broadway Suite 2600 Sacramento CA 95820 |
| Practice Telephone | 9167349331 |
| Practice Fax Number | 9167349661 |
| Mailing Telephone | 9167349200 |
| Mailing Fax Number | 9167349661 |
| Enumeration Date | 2006-11-06 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PIN | DA4168 | 01 |
| CA | ZZZP5702Z | 05 | |
| CA | RAILROAD MEDICARE PIN | CI4127 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4844 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4400 | 01 |
| CA | RAILROAD MEDICARE PIN | CR0028 | 01 |
| CA | RAILROAD MEDICARE PIN | DE7275 | 01 |
| Other Name | Type Code |
|---|---|
| Davis Medical Associates | 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 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184244 | Bethel Averbeck Md A Professional Medical Corporation | Clinic/Center | 400 Capitol Mall, 22nd Floor, Sacramento, CA 95814-4407 | 2015-09-17 |
| 1801438015 | Rasnow Integrative Wellness Inc | Clinic/Center | 1102 Corporate Way, St 170, Sacramento, CA 95831 | 2019-10-09 |
| 1932691797 | Vascular Institute of Northern California A Podiatry Corporation | Clinic/Center | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2018-06-06 |
| 1003267196 | Sutter Bay Medical Foundation | Clinic/Center | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2016-06-29 |
| 1013355585 | Health and Life Organization, Inc. | Clinic/Center | 7551 Timberlake Way, Suite# 240, Sacramento, CA 95823-5420 | 2013-06-06 |
| 1033553425 | Uc Davis Health System | Clinic/Center | 2315 Stockton Blvd, Sesp Op160, Sacramento, CA 95817-2201 | 2013-04-29 |
| 1861795320 | Dignity Health Medical Foundation | Clinic/Center | 3941 J St, Suite 270, Sacramento, CA 95819-3624 | 2010-12-06 |
| 1437488715 | Dignity Community Care | Clinic/Center | 7601 Hospital Dr, Suite 103, Sacramento, CA 95823 | 2009-12-15 |
| 1770725863 | Dignity Health Medical Foundation | Clinic/Center | 3911 Norwood Ave, Sacramento, CA 95838-3361 | 2009-04-03 |
| 1578728077 | Regents of The University of Ca | Clinic/Center | 2521 Stockton Blvd, Ste. 5200, Sacramento, CA 95817-2207 | 2008-07-23 |
| 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.