REGENTS OF THE UNIVERSITY OF CA (NPI# 1629061643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629061643 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CA |
| Other Organization Name | REGENTS/UCDPBG/IM HEMATO |
| Practice Address |
4501 X St Sacramento CA 95817-2229 |
| Mailing Address |
4900 Broadway Ste 2600 Sacramento CA 95820-1532 |
| Practice Telephone | 9167245803 |
| Practice Fax Number | 9167347946 |
| Mailing Telephone | 9167349200 |
| Mailing Fax Number | 9167349661 |
| 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 | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PIN | CI4127 | 01 |
| CA | RAILROAD MEDICARE PIN | DA4168 | 01 |
| CA | RAILROAD MEDICARE PIN | CR0028 | 01 |
| CA | RAILROAD MEDICARE PIN | DE7275 | 01 |
| CA | GNP000070 | 05 | |
| CA | GR0021049 | 05 | |
| CA | RAILROAD MEDICARE PIN | CN4400 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4844 | 01 |
| Other Name | Type Code |
|---|---|
| Regents/UCDPBG/IM Hemato | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194705731 | Regents of The University of Ca | Clinic/Center | 10044 Wolf Rd, #a, Grass Valley, CA 95949-8193 | 2006-01-19 |
| 1245210889 | Regents of The University of Ca | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2006-01-19 |
| 1275526329 | Regents of The University of Ca | Internal Medicine | Tb 156, Davis, CA 95616 | 2005-08-24 |
| 1528051679 | Regents of The University of Ca | Internal Medicine | 1508 Alhambra Blvd, Sacramento, CA 95816-6510 | 2005-08-24 |
| 1164415238 | Regents of The University of Ca | Psychiatry & Neurology | 2230 Stockton Blvd, Sacramento, CA 95817-1419 | 2005-08-24 |
| 1770953960 | Regents of The University of Ca | Clinic/Center | 477 N El Camino Real, Suite A306, Encinitas, CA 92024-1328 | 2015-09-30 |
| 1992930986 | Regents of The University of Ca | Family Medicine | 4860 Y St, Ste 200, Sacramento, CA 95817-2307 | 2009-05-20 |
| 1396997458 | Regents of The University of Ca | Psychiatry & Neurology | 2825 50th St, Sacramento, CA 95817-2310 | 2008-10-21 |
| 1578728077 | Regents of The University of Ca | Clinic/Center | 2521 Stockton Blvd, Ste. 5200, Sacramento, CA 95817-2207 | 2008-07-23 |
| 1124008719 | Regents of The University of Ca | Clinic/Center | 2000 O St, Ste 210, Sacramento, CA 95811-5224 | 2006-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | REGENTS OF THE UNIVERSITY OF CALIFORNIA | 1111 Franklin St, Flr 10, Oakland, CA 94607 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA AT RIVERSIDE | 200 Universty Office Bldg, Riverside, CA 92521-0001 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE | 1855 Folsom St Ste 425, San Francisco, CA 94143-4249 |
| Street Address |
4501 X ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889068 | Regents of The Univ of Ca | Surgery | 4501 X St, Sacramento, CA 95817-2229 | 2005-08-23 |
| 1588289250 | Kathryn Laura Gayhart | Nurse Practitioner | 4501 X St, Sacramento, CA 95817-2229 | 2020-06-09 |
| 1043789159 | Laura Galindo | Nurse Practitioner | 4501 X St, Sacramento, CA 95817-2229 | 2018-11-19 |
| 1427533249 | Danielle L Baham | Dietitian, Registered | 4501 X St, Sacramento, CA 95817-2229 | 2018-09-27 |
| 1811444961 | Alana Laraine Rothman | Nurse Practitioner | 4501 X St, Sacramento, CA 95817-2229 | 2016-09-07 |
| 1700257672 | Tara Martinez | Nurse Practitioner | 4501 X St, 2nd Floor, Sacramento, CA 95817-2229 | 2015-10-16 |
| 1982086567 | Kristine Ahlberg | Registered Nurse | 4501 X St, Sacramento, CA 95817-2229 | 2015-06-19 |
| 1811377963 | Brian Pham | Internal Medicine | 4501 X St, Sacramento, CA 95817-2229 | 2015-06-04 |
| 1285011254 | Ky Nam Bao Nguyen | Radiology | 4501 X St, G140, Sacramento, CA 95817-2229 | 2015-04-29 |
| 1366849929 | Iris Chen Zhao | Pharmacist | 4501 X St, Room 2054, Sacramento, CA 95817-2229 | 2014-11-25 |
| 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 | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306135470 | Casie Schedel Shenoy | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2011-03-29 |
| 1790704286 | John J Fisher | Internal Medicine | 2929 K St, Suite 200, Sacramento, CA 95816-5122 | 2006-07-18 |
| 1346265436 | David T Harrison | Internal Medicine | 2800 L St, Suite 300, Sacramento, CA 95816-5616 | 2006-07-12 |
| 1235161621 | Nitin Rohatgi | Internal Medicine | 2800 L St, Suite 300, Sacramento, CA 95816-5616 | 2006-07-07 |
| 1730110768 | Samer Shihabi | Internal Medicine | 3301 C St, Bldg 500, Sacramento, CA 95816-3300 | 2006-07-06 |
| 1114958501 | Luko Michael Laptalo | Internal Medicine | 3301 C St, Bldg 500, Sacramento, CA 95816-3300 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497174262 | Caitlin O'neill | Internal Medicine | 1441 Eastlake Ave # Nor3470, Los Angeles, CA 90089-1029 | 2014-04-09 |
| 1093154841 | Stephen H. Embury | Internal Medicine | 108 Eagle Trace Dr, Half Moon Bay, CA 94019-2286 | 2013-06-14 |
| 1528308897 | Richard J Lewis | Internal Medicine | 902 Brockton Ln, Ventura, CA 93001-3864 | 2013-02-25 |
| 1033341672 | Abdullah Ladha | Internal Medicine | 1441 Eastlake Ave Ntt3459, Los Angeles, CA 90089-0001 | 2009-08-16 |
| 1225285547 | John Reynolds | Internal Medicine | 7719 Alverstone Ave, Los Angeles, CA 90045-1446 | 2008-08-19 |
| 1023271350 | Gallia Georgette Levy | Internal Medicine | 505 Parnassus Ave # 1286, Box 1270, San Francisco, CA 94143-2204 | 2008-07-07 |
| 1205098498 | Waheed Murad | Internal Medicine | 27433 Lovettsville Ln, Temecula, CA 92591-2542 | 2008-06-27 |
| 1659547487 | Noah Merrill Merin | Internal Medicine | 8700 Beverly Blvd # Ac1046, West Hollywood, CA 90048 | 2008-05-01 |
| 1609918556 | Michaela Liedtke | Internal Medicine | 875 Blake Wilbur, Stanford, CA 94305 | 2007-02-13 |
| 1790827640 | Jason Gotlib | Internal Medicine | 875 Blake Wilbur Dr Rm 2327b, Palo Alto, CA 94304-2205 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY 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.