REGENTS OF THE UNIV OF CA (NPI# 1801889068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801889068 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIV OF CA |
| Other Organization Name | REGENTS/UCD PBG/SUR ON COL |
| Practice Address |
4501 X St Sacramento CA 95817-2229 |
| Mailing Address |
4900 Broadway Suite 2600 Sacramento CA 95820-1532 |
| Practice Telephone | 9167345803 |
| Practice Fax Number | 9167315706 |
| Mailing Telephone | 9167349200 |
| Mailing Fax Number | 9167349661 |
| Enumeration Date | 2005-08-23 |
| 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 | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PIN | CN4844 | 01 |
| CA | RAILROAD MEDICARE PIN | CN4400 | 01 |
| CA | RAILROAD MEDICARE PIN | DE7275 | 01 |
| CA | RAILROAD MEDICARE PIN | DA4168 | 01 |
| CA | RAILROAD MEDICARE PIN | CR0028 | 01 |
| CA | RAILROAD MEDICARE PIN | CI4127 | 01 |
| CA | GNP000070 | 05 | |
| CA | GRW021047 | 05 |
| Other Name | Type Code |
|---|---|
| REGENTS/UCD PBG/SUR ON COL | 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 |
| 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 |
| 1801948690 | Regents of The Univ of Ca | Occupational Therapist | 4900 Broadway, Suite 2800, Sacramento, CA 95817 | 2007-01-18 |
| Street Address |
4501 X ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1043637127 | Tyler O'flahrity | Internal Medicine | 4501 X St, Sacramento, CA 95817-2229 | 2014-03-26 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700093226 | Robert Jonathan Canter | Surgery | 4501 X St Ste 3010, Sacramento, CA 95817-2229 | 2007-05-16 |
| 1982129961 | Ronald G. Jan, M.d. Inc | Surgery | 5025 J St, Suite #312, Sacramento, CA 95819 | 2017-08-10 |
| 1902133093 | Kathryn C Amirikia Md Inc | Surgery | 7501 Hospital Dr, 305, Sacramento, CA 95823-5405 | 2009-11-10 |
| 1467656249 | Amanda R. Kirane | Surgery | 4501 X St, Suite 3010, Sacramento, CA 95817-2229 | 2007-06-13 |
| 1427166958 | Kathryn C Amirikia, Md, Inc | Surgery | 7501 Hospital Dr, Suite 305, Sacramento, CA 95823-5405 | 2006-08-25 |
| 1427032630 | John Soyle Lee | Surgery | 2800 L St, Suite 300, Sacramento, CA 95816-5616 | 2005-12-01 |
| 1265416655 | Philip Dana Schneider | Surgery | 4501 X St, Uc Davis Cancer Center, Suite 3010, Sacramento, CA 95817-2229 | 2005-11-30 |
| 1508849001 | Lisa M Guirguis | Surgery | 2800 L St, Suite 300, Sacramento, CA 95816-5616 | 2005-11-29 |
| 1003899642 | Vijay P Khatri | Surgery | 4501 X St, Uc Davis Cancer Center, Suite 3010, Sacramento, CA 95817-2229 | 2005-11-29 |
| 1851374441 | Richard John Bold | Surgery | 4501 X St, Uc Davis Cancer Center Suite 3010, Sacramento, CA 95817-2229 | 2005-11-28 |
| 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.