REGENTS OF THE UNIV OF CA (NPI# 1659364685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659364685 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIV OF CA |
| Other Organization Name | REGENTS/UCD PBG/SUR GI BAR |
| Practice Address |
2221 Stockton Blvd Sacramento CA 95817-1418 |
| Mailing Address |
4900 Broadway Suite 2600 Sacramento CA 95820-1532 |
| Practice Telephone | 9167347313 |
| Practice Fax Number | 9167342919 |
| 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PIN | DA4168 | 01 |
| CA | RAILROAD MEDICARE PIN | CI4127 | 01 |
| CA | RAILROAD MEDICARE PIN | CR0028 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4844 | 01 |
| CA | RAILROAD MEDICARE PIN | DE7275 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4400 | 01 |
| CA | GRW02104H | 05 | |
| CA | GNP000070 | 05 |
| Other Name | Type Code |
|---|---|
| Regents/UCD PBG/Sur GI Bar | 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 |
| 1053304071 | Regents of The Univ of Ca | Pathology | 3146 Tupper Hall, Davis, CA 95616 | 2005-08-24 |
| 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 |
| Street Address |
2221 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041698 | Regents of The Univ of Ca | Surgery | 2221 Stockton Blvd, Sacramento, CA 95817 | 2005-08-23 |
| 1770127334 | Andrew Thompson | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2019-11-06 |
| 1982187241 | Kimberly C Sosik | Physician Assistant | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2018-09-12 |
| 1285132175 | Gerdy Mirline Pluviose | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2018-01-25 |
| 1649704610 | Dana Tam Kilday | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2017-04-17 |
| 1912458860 | Jenny Mccormack | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2016-10-16 |
| 1013367135 | Amir Sarkeshik | Student in an Organized Health Care Education/Training Program | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2016-06-20 |
| 1134593783 | Allison Shuken | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2015-11-19 |
| 1801277751 | Sean James Judge | Student in an Organized Health Care Education/Training Program | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2015-06-17 |
| 1215329396 | Bernadette Hystad | Physician Assistant | 2221 Stockton Blvd, 2112, Sacramento, CA 95817-1418 | 2015-02-26 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386118404 | Shirley Domingo, M.d., Inc. | Surgery | 3939 J St Ste 305, Sacramento, CA 95819-3639 | 2019-01-11 |
| 1205366101 | Medamerica Physician Solutions Inc | Surgery | 3000 L St Ste 200, Sacramento, CA 95816-5248 | 2017-06-14 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| 1164976585 | Rana Khan | Surgery | 8120 Timberlake Way Ste 212, Sacramento, CA 95823 | 2016-08-15 |
| 1821449430 | Jason A Park Md A Profesional Medical Corporation | Surgery | 1111 Exposition Blvd Ste 400a, Sacramento, CA 95815-4336 | 2016-06-24 |
| 1295115616 | Marissa Mendez | Surgery | 2335 Stockton Boulevard, Naob -5th Floor, Sacramento, CA 95817 | 2015-06-01 |
| 1669815940 | Shushmita Mehjabin Ahmed | Surgery | 2335 Stockton Blvd Naob 6th Floor, Sacramento, CA 95817-1418 | 2013-04-16 |
| 1588921795 | Claire E Graves | Surgery | 4501 X Street, Suite 3010, Sacramento, CA 95817-1418 | 2012-04-13 |
| 1164797684 | Luis Armando Godoy | Surgery | 2335 Stockton Blvd., Naob Suite 6120, Sacramento, CA 95817-2200 | 2012-03-16 |
| 1649560632 | Victoria Lyo | Surgery | 2315 Stockton Blvd. Department of Surgery, Naob Suite 6113, Sacramento, CA 95817-2201 | 2011-04-12 |
| Find all providers in SACRAMENTO | ||||
| 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.