REGENTS OF THE UNIV OF CA (NPI# 1053304071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053304071 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIV OF CA |
| Other Organization Name | REGENTS UCDPBG MICROBIO |
| Practice Address |
3146 Tupper Hall Davis CA 95616 |
| Mailing Address |
4900 Broadway Ste 2600 Sacramento CA 95820-1532 |
| Practice Telephone | 5307529402 |
| Mailing Telephone | 9167349200 |
| Mailing Fax Number | 9167349336 |
| Enumeration Date | 2005-08-24 |
| 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 | 207ZM0300X |
Pathology Specialization: Medical Microbiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR002104C | 05 |
| Other Name | Type Code |
|---|---|
| Regents UCDPBG Microbio | 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 |
| 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 |
| 1801948690 | Regents of The Univ of Ca | Occupational Therapist | 4900 Broadway, Suite 2800, Sacramento, CA 95817 | 2007-01-18 |
| Street Address |
3146 TUPPER HALL |
| City | DAVIS |
| State | CA |
| Zip Code | 95616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386895068 | Regents of The University of California | Clinical Medical Laboratory | 3146 Tupper Hall, Tupper Hall, Health Sciences Drive, Davis, CA 95616 | 2008-10-01 |
| 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 | 207ZM0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Medical Microbiology |
| A medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi, as well as parasites, are identified and, where possible, tested for susceptibility to appropriate antimicrobial agents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932148905 | Victor Santos Flauta | Pathology | 5631 N Figarden Dr, Suite 107, Fresno, CA 93722-3577 | 2006-06-05 |
| 1891223210 | Peera Hemarajata | Pathology | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-05-30 |
| 1154612281 | Cassiana Euzebio Bittencourt | Pathology | 101 The City Dr S, Orange, CA 92868 | 2011-04-24 |
| 1245202233 | Anthony V Cunha | Pathology | 155 Glasson Way, Grass Valley, CA 95945 | 2006-02-03 |
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.