UC DAVIS MEDICAL CENTER (NPI# 1285616524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285616524 |
| Entity Type | Organization |
| Organization Name | UC DAVIS MEDICAL CENTER |
| Practice Address |
2360 Stockton Blvd Suite 1100 Sacramento CA 95817-2228 |
| Mailing Address |
1363 Foxboro Way Sacramento CA 95833-1020 |
| Practice Telephone | 9167343461 |
| Mailing Telephone | 9167303412 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MAIARISHA GREEN (COMMUNITY HEALTH REP/SOCIAL WORKER) |
| Authorized Official Telephone | 9167343461 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
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 |
| 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 |
| 1255672457 | Uc Davis Medical Center | General Acute Care Hospital | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2013-03-13 |
| Street Address |
2360 STOCKTON BLVD SUITE 1100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750756805 | Daniel Louie | Pharmacist | 2360 Stockton Blvd, Suite 1200, Sacramento, CA 95817-2209 | 2015-12-01 |
| 1942605720 | Andrea Derlet | Pharmacist | 2360 Stockton Blvd, Suite 1200, Sacramento, CA 95817-2221 | 2014-10-23 |
| 1144621426 | Sarah Bajorek | Pharmacist | 2360 Stockton Blvd, Suite 1200, Sacramento, CA 95817-2209 | 2014-09-05 |
| 1023240835 | Murielle B Labeaud | Registered Nurse | 2360 Stockton Blvd, Sacramento, CA 95817-2209 | 2009-08-12 |
| 1710020581 | Stacy Ann Knox | Pharmacist | 2360 Stockton Blvd, Suite 1200, Sacramento, CA 95817-2209 | 2007-02-14 |
| 1912957291 | Kim Schafer | Registered Nurse | 2360 Stockton Blvd, Suite 1100, Sacramento, CA 95817-2228 | 2006-05-10 |
| 1639152853 | Karen M.r. Scott | Registered Nurse | 2360 Stockton Blvd, Suite 1100, Sacramento, CA 95817-2228 | 2005-11-22 |
| 1487636932 | Elizabeth Funke Gall | Nurse Practitioner | 2360 Stockton Blvd, Hemophilia Treatment Center, Sacramento, CA 95817-2209 | 2005-11-18 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275870412 | Uc Davis Hospital | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2013-01-08 |
| 1598088791 | Ucdavis Medical Center | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2010-03-03 |
| 1699986273 | Terri Goehring | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2007-05-24 |
| 1013062033 | Susan Lewis, L.c.s.w. | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2007-01-23 |
| 1154475754 | Uc Davis Medical Center | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2007-01-22 |
| 1184609174 | Uc Davis | General Acute Care Hospital | 4150 V St, 2100, Sacramento, CA 95817-1460 | 2005-12-13 |
| 1689659682 | Uc Davis | General Acute Care Hospital | 4150 V St, 2100, Sacramento, CA 95817-1460 | 2005-12-13 |
| 1184608812 | Uc Davis | General Acute Care Hospital | 4150 V St, Sacramento, CA 95817-1460 | 2005-12-06 |
| 1912980103 | Uc Davis Medical Center | General Acute Care Hospital | 2315 Stockton Blvd, Room 4206, Sacramento, CA 95817-2201 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
| 1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
| 1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
| 1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
| 1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
| 1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
| 1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
| 1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
| 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.