UCD-SOM NEUROLOGICAL SURGERY (NPI# 1700936309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700936309 |
| Entity Type | Organization |
| Organization Name | UCD-SOM NEUROLOGICAL SURGERY |
| Practice Address |
2315 Stockton Boulevard, Suite 3740 Acc Sacramento CA 95817-2201 |
| Mailing Address |
4860 Y St Ste 3740 Sacramento CA 95817-2307 |
| Practice Telephone | 9167343658 |
| Practice Fax Number | 9167035368 |
| Mailing Telephone | 9167343658 |
| Mailing Fax Number | 9167035368 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIDGET M. WILSON (NURSE PRACTITIONER) |
| Authorized Official Telephone | 9167343658 |
| Authorized Official Credential | RN, NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 11306 | CA | Hospital Units |
| Street Address |
2315 STOCKTON BOULEVARD, SUITE 3740 ACC |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2201 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198402 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 9945 Valgrande Way, Elk Grove, CA 95757-3004 | 2017-04-18 |
| 1124473210 | Vi | Medicare Defined Swing Bed Unit | 10513 Zenor Ln Unit 34, San Diego, CA 92127-6810 | 2016-04-26 |
| 1023495793 | Doc Vk Corp | Medicare Defined Swing Bed Unit | 6779 Sandalwood Dr, Simi Valley, CA 93063-5802 | 2015-05-01 |
| 1881922110 | Southern Inyo Hospical | Medicare Defined Swing Bed Unit | 501 E. Locust St., Lone Pine, CA 93545-0000 | 2009-11-24 |
| 1780829408 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 550 Naples St, San Francisco, CA 94112-2824 | 2008-12-09 |
| 1598932436 | N P Coller Holding | Medicare Defined Swing Bed Unit | 7616 Girard Ave, La Jolla, CA 92037-4420 | 2008-05-09 |
| 1366658239 | Rady Children's Hospital | Medicare Defined Swing Bed Unit | 4690 Coconino Way, San Diego, CA 92117-2612 | 2007-05-15 |
| 1154431096 | Va Greater La Healthcare System | Medicare Defined Swing Bed Unit | 1825 N Kingsley Dr, Los Angeles, CA 90027-3762 | 2006-08-30 |
| 1487669032 | Last Frontier Healthcare District | Medicare Defined Swing Bed Unit | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-07-30 |
| 1295342012 | Norcal Healthconnect LLC | Medicare Defined Swing Bed Unit | 1375 University St, Healdsburg, CA 95448-3382 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on UCD-SOM NEUROLOGICAL SURGERY.
| 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.