UNIVERSITY OF CALIFORNIA, DAVIS (NPI# 1417931387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417931387 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CALIFORNIA, DAVIS |
| Practice Address |
4150 V St Pssb G500 Sacramento CA 95817-1460 |
| Mailing Address |
5709 Thames Way Carmichael CA 95608-5556 |
| Practice Telephone | 9167348695 |
| Practice Fax Number | 9167347766 |
| Mailing Telephone | 9164879317 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. DAVID MICHAEL ASMUTH (ASSISTANT PROFESSOR OF CLINICAL MED) |
| Authorized Official Telephone | 9167348695 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 00G865750 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00G865750 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235561879 | University of California, Davis | Chronic Disease Hospital | 4150 V St Ste 1300, Sacramento, CA 95817-1460 | 2013-08-06 |
| 1053620161 | University of California, Davis | Chronic Disease Hospital | 2360 Stockton Blvd Ste 1100, Sacramento, CA 95817-2283 | 2010-10-07 |
| 1215081005 | University of California, Davis | Clinic/Center | 4860 Y St, Suite 0100, Sacramento, CA 95817-2307 | 2007-01-22 |
| Street Address |
4150 V ST PSSB G500 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132606 | Stanley P. Sady | Anesthesiology | 4150 V St, Pssb Suite 1200, Sacramento, CA 95817-1460 | 2005-05-31 |
| 1144856006 | Caryn Zagaynov | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2020-03-22 |
| 1710446745 | Ian Dineen Brooks | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1801355763 | Dina Attia | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1235698184 | Deepthi Lakshmi Penta | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2019-03-19 |
| 1134625676 | Angel Mendoza | Student in an Organized Health Care Education/Training Program | 4150 V St, Sacramento, CA 95817-1460 | 2018-04-03 |
| 1003311929 | Katherine Desprez Wick | Internal Medicine | 4150 V St, Ste 111, Sacramento, CA 95817 | 2018-03-25 |
| 1326571795 | Louis Devoe | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-04 |
| 1841723228 | John Sun | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-04 |
| 1114459575 | Duc Phuong Le | Student in an Organized Health Care Education/Training Program | 4150 V St, #1200, Sacramento, CA 95817-1460 | 2017-04-03 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 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 |
| 1437483880 | Kaiser Parmenente | General Acute Care Hospital | 2654 El Centro Rd, Sacramento, CA 95833 | 2009-10-01 |
| 1760672414 | Uc Davis Medical Center | General Acute Care Hospital | 5633 Pop Becker Dr, Sacramento, CA 95835-1714 | 2007-07-30 |
| 1093860033 | Uc Davis | General Acute Care Hospital | 2521 Stockton Blvd Ste 3200, Sacramento, CA 95817-2207 | 2007-01-23 |
| 1518989540 | University of California, Davis, Medical Center | General Acute Care Hospital | 4150 V St Ste 2400, Sacramento, CA 95817-1460 | 2006-07-25 |
| 1811946734 | Sutter Valley Hospitals | General Acute Care Hospital | 2825 Capitol Avenue, Sacramento, CA 95616-5616 | 2006-05-08 |
| 1942860374 | Omari Kamau Johnson | General Acute Care Hospital | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2019-06-18 |
| 1629421490 | Uc Davis Medical Center | General Acute Care Hospital | 4150 V St Ste 1200, Sacramento, CA 95817-1460 | 2016-07-18 |
| 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.
| 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.