REGENTS OF THE UNIVERSITY OF CA (NPI# 1780664334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780664334 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CA |
| Other Organization Name | REGENTS UCDMG SPORTS MEDICINE |
| Practice Address |
2805 J St Ste 300 Sacramento CA 95816-4307 |
| Mailing Address |
4900 Broadway Ste 1200 Sacramento CA 95820-1532 |
| Practice Telephone | 9167346805 |
| Mailing Telephone | 9167349654 |
| Mailing Fax Number | 9167361419 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2009-06-04 |
| Authorized Official Name | KURT J SLAPNIK (CFO) |
| Authorized Official Telephone | 9167348203 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006392Q | 05 |
| Other Name | Type Code |
|---|---|
| Regents UCDMG Sports Medicine | 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 |
2805 J ST STE 300 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739134 | Michael J Fazio, Md, Surgery Center | Clinic/Center | 2805 J St, Ste 100, Sacramento, CA 95816-4307 | 2005-06-09 |
| 1275051310 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2805 J St, Sacramento, CA 95816-4307 | 2017-09-08 |
| 1245644863 | Uap Sacramento, PC | Nurse Anesthetist, Certified Registered | 2805 J St, 200, Sacramento, CA 95816-4307 | 2014-06-12 |
| 1932359056 | Anthony F Bellomo Md Inc | Orthopaedic Surgery | 2805 J St, Suite 210, Sacramento, CA 95816-4307 | 2008-09-25 |
| 1548449960 | Jack Clayton Oates | Dentist | 2805 J St, Suite 220, Sacramento, CA 95816-4307 | 2007-11-01 |
| 1760689525 | Cassandra Alda Lee | Orthopaedic Surgery | 2805 J St, Suite 3400, Sacramento, CA 95816-4307 | 2007-06-27 |
| 1184831521 | Michael J Fazio, Md Inc | Dermatology | 2805 J St, Suite 100, Sacramento, CA 95816-4307 | 2007-05-16 |
| 1568410140 | Vicky Jo Moran | Nurse Anesthetist, Certified Registered | 2805 J St, Sacramento, CA 95816-4307 | 2006-05-05 |
| 1619953643 | David Cosca | Neuromusculoskeletal Medicine, Sports Medicine | 2805 J St, Suite 300, Sacramento, CA 95816 | 2005-12-21 |
| 1477543742 | Richard A. Marder | Orthopaedic Surgery | 2805 J St, Spt Med #300, Sacramento, CA 95816-4307 | 2005-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184244 | Bethel Averbeck Md A Professional Medical Corporation | Clinic/Center | 400 Capitol Mall, 22nd Floor, Sacramento, CA 95814-4407 | 2015-09-17 |
| 1801438015 | Rasnow Integrative Wellness Inc | Clinic/Center | 1102 Corporate Way, St 170, Sacramento, CA 95831 | 2019-10-09 |
| 1932691797 | Vascular Institute of Northern California A Podiatry Corporation | Clinic/Center | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2018-06-06 |
| 1003267196 | Sutter Bay Medical Foundation | Clinic/Center | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2016-06-29 |
| 1013355585 | Health and Life Organization, Inc. | Clinic/Center | 7551 Timberlake Way, Suite# 240, Sacramento, CA 95823-5420 | 2013-06-06 |
| 1033553425 | Uc Davis Health System | Clinic/Center | 2315 Stockton Blvd, Sesp Op160, Sacramento, CA 95817-2201 | 2013-04-29 |
| 1861795320 | Dignity Health Medical Foundation | Clinic/Center | 3941 J St, Suite 270, Sacramento, CA 95819-3624 | 2010-12-06 |
| 1437488715 | Dignity Community Care | Clinic/Center | 7601 Hospital Dr, Suite 103, Sacramento, CA 95823 | 2009-12-15 |
| 1770725863 | Dignity Health Medical Foundation | Clinic/Center | 3911 Norwood Ave, Sacramento, CA 95838-3361 | 2009-04-03 |
| 1578728077 | Regents of The University of Ca | Clinic/Center | 2521 Stockton Blvd, Ste. 5200, Sacramento, CA 95817-2207 | 2008-07-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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.