UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER (NPI# 1376767665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376767665 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER |
| Practice Address |
2521 Stockton Blvd Ste 3110 Sacramento CA 95817-2207 |
| Mailing Address |
3304 Monte Vista Ave Davis CA 95618 |
| Practice Telephone | 9167341665 |
| Practice Fax Number | 9167340561 |
| Mailing Telephone | 5307585385 |
| Mailing Fax Number | 9167340561 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. VINCENT SAM FONG (PEDIATRIC SOCIAL WORKER) |
| Authorized Official Telephone | 9167341665 |
| Authorized Official Credential | ACSW 16761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLINICAL SOCIAL WORKER | ASW 16761 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922231141 | University of California Davis Medical Center | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817 | 2009-09-04 |
| 1568504512 | University of California Davis Medical Center | Social Worker | 4501 X St, Sacramento, CA 95817-2229 | 2007-02-13 |
| 1811993900 | University of California Davis Medical Center | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2005-06-22 |
| Street Address |
2521 STOCKTON BLVD STE 3110 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205182995 | Vincent Fong | Social Worker | 2521 Stockton Blvd Ste 3110, Sacramento, CA 95817-2207 | 2012-07-31 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396444 | J.a. Ferranti, Md Psychiatric Services | Clinic/Center | 300 University Ave Ste 240, Sacramento, CA 95825-6518 | 2019-10-01 |
| 1629426101 | Michael W. Chu, Md, Inc. | Clinic/Center | 2901 K St Ste 209, Sacramento, CA 95816-5124 | 2016-05-25 |
| 1053379057 | Capitol Urology Medical Group Inc | Clinic/Center | 3939 J Street, Suite 250, Sacramento, CA 95819 | 2006-05-02 |
| 1306489687 | James Longoria Md Inc | Clinic/Center | 2800 L St Ste 200, Sacramento, CA 95816-5616 | 2019-10-19 |
| 1417456831 | Kia Yang | Clinic/Center | 225 30th St Ste 311, Sacramento, CA 95816-3359 | 2018-02-12 |
| 1912300278 | Jrs Medical Consulting, Inc. | Clinic/Center | 4354 Auburn Blvd, Sacramento, CA 95841-4107 | 2014-10-01 |
| 1912312448 | Jeffrey L. Young, Md, Inc | Clinic/Center | 5525 Assembly Ct, Ste A, Sacramento, CA 95823-2634 | 2014-06-23 |
| 1417369943 | Robert E. Sullivan, Md | Clinic/Center | 4441 Auburn Blvd, Suite P, Sacramento, CA 95841-4139 | 2014-06-02 |
| 1982958351 | Sacramento Pediatric Gastroenterology,inc. | Clinic/Center | 5767 Greenback Ln, Suite 200, Sacramento, CA 95841-2013 | 2012-11-06 |
| 1134490493 | Med 9 Clinic | Clinic/Center | 1936 Stockton Blvd, Sacramento, CA 95816-6638 | 2012-01-18 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER.
| 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.