REGENTS OF THE UNIVERSITY OF CA


Address: 2521 Stockton Blvd, Sacramento, CA 95817-2207
Phone: 9167343179

REGENTS OF THE UNIVERSITY OF CA (NPI# 1740273762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740273762
Entity Type Organization
Organization Name REGENTS OF THE UNIVERSITY OF CA
Other Organization Name REGENTS UCDPBG PED GASTR
Practice Address 2521 Stockton Blvd
Sacramento
CA 95817-2207
Mailing Address 4900 Broadway
Suite 2600
Sacramento
CA 95820-1532
Practice Telephone 9167343179
Practice Fax Number 9164562236
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA RAILROAD MEDICARE PIN CI4127 01
CA RAILROAD MEDICARE PIN DA4168 01
CA RAILROAD MEDICARE PIN DE7275 01
CA MEDICAID/CHDP PIN ZZZP5701Z 01
CA RAILROAD MEDICARE PIN CN4844 01
CA GNP000070 05
CA RAILROAD MEDICARE PIN CR0028 01
CA GR002104Z 05
CA RAILROAD MEDICARE PIN CN4400 01

Other Provider/Organization Names

Other Name Type Code
Regents UCDPBG Ped Gastr Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 2521 STOCKTON BLVD
City SACRAMENTO
State CA
Zip Code 95817-2207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548267867 Robert David Lyons Dentist 2521 Stockton Blvd, Dental Clinic, Glassrock Building, Sacramento, CA 95817-2207 2005-07-01
1831798636 Cynthia A Steele Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2020-10-22
1679118095 Rodrigo Garcia Almirol Jr. Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2019-11-08
1487115291 Diana Yasmin Arellano Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2019-03-26
1609335462 Julia Grissinger Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2019-03-19
1659880177 Nogah Hannah Nativ Speech-Language Pathologist 2521 Stockton Blvd, Sacramento, CA 95817-2207 2017-09-27
1528598026 Megan Brown Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2017-06-16
1477083533 Jessica Pietrowski Speech-Language Pathologist 2521 Stockton Blvd, Sacramento, CA 95817-2207 2017-06-12
1952836058 Farrukh Rasool Virani Student in an Organized Health Care Education/Training Program 2521 Stockton Blvd, Ste 7200, Sacramento, CA 95817-2207 2017-04-26
1710412036 Lindsay Olinde Student in an Organized Health Care Education/Training Program 2521 Stockton Blvd, Ste. 7200, Sacramento, CA 95817-2207 2017-04-24
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134531254 Mary Catherine Sawh Pediatrics 1625 Stockton Blvd Ste 105, Sacramento, CA 95816-7098 2014-05-22
1851616056 Kelly Beth Haas Pediatrics 2516 Stockton Blvd Ste 367, Sacramento, CA 95817-2208 2010-03-30
1043321789 Yinka K Davies Pediatrics 5767 Greenback Ln, Suite 200, Sacramento, CA 95841-2013 2006-08-31
1942649561 Kiran Mudambi Pediatrics 2516 Stockton Blvd, Sacramento, CA 95817-2208 2013-06-17
1972732295 Trinh Thi Truong Pediatrics 2516 Stockton Blvd, Sacramento, CA 95817 2009-07-08
1790927564 Sunpreet Kaur Pediatrics 2516 Stockton Blvd, Sacramento, CA 95817-2208 2009-03-25
1982893517 Allison Wong Pediatrics 2315 Stockton Blvd, Sacramento, CA 95817-2201 2007-10-19
1679651376 Robert A. Cannon Pediatrics 2516 Stockton Blvd, Sacramento, CA 95817-2208 2006-11-01
1871698985 Philip J Mcdonald Pediatrics 5301 F St, #308, Sacramento, CA 95819-3226 2006-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477899474 Thomas W Self Pediatrics 7514 Girard Ave Ste 1, La Jolla, CA 92037-5199 2012-12-19
1174882047 Marwa Abu El Haija Pediatrics 3801 Sacramento St Ste 216, San Francisco, CA 94118 2012-05-11
1518251636 Travis Loyd Piester Pediatrics 4650 W Sunset Blvd # Ms 76, Los Angeles, CA 90027-6062 2011-06-06
1235422197 Emily Whang Pediatrics 10833 Le Conte Ave # 12-383, Los Angeles, CA 90095-2804 2011-05-25
1538490230 Pediatric Gastroenterology of Monterey Inc. Pediatrics 1900 Garden Road Suite 110, Pediatric Group of Monterey, Monterey, CA 93940 2010-01-19
1750562864 Fadi G. Haddad, Md, Inc Pediatrics 1455 Montego, Suite 101, Walnut Creek, CA 94598 2007-11-16
1558490912 Khyati Pravin Mehta Pediatrics 25845 Barton Rd Ste 101, Loma Linda, CA 92354-5300 2007-03-03
1841341427 Walter Edward Benkert Sipe Pediatrics 500 Parnasus Ave, Box 0136, San Francisco, CA 94143-0136 2007-01-12
1679653000 Beth Carter Pediatrics 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 2006-10-17
1922114685 Judy Jean Davis Pediatrics 7405 N Fresno St, Fresno, CA 93720-2457 2006-08-22
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Competitor

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City SACRAMENTO
Zip Code 95817

Improve Information

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Dataset Information

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.

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