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REGENTS OF THE UNIVERSITY OF CA NPI 1104815067


NPI Information

NPI: 1104815067
Provider Name: REGENTS OF THE UNIVERSITY OF CA

Other Name: REGENTS UCDPBG PED

Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
2521 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-3179
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REGENTS OF THE UNIVERSITY OF CA is a pediatric critical care medicine pediatrics in Sacramento, CA. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. REGENTS OF THE UNIVERSITY OF CA NPI is 1104815067. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Regents Ucdpbg Ped.

The provider's business location address is:

2521 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817-207
Phone: (916) 734-3179
Fax: (916) 456-2236

The provider's authorized official is Cheryl Sadro .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 703-5009.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 8/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CI4127OTHERCALIFORNIARAILROAD MEDICARE PIN
2ZZZP5701ZOTHERCALIFORNIAMEDICAID/CHDP PIN
3GRW02104JMEDICAIDCALIFORNIA
4CR0028OTHERCALIFORNIARAILROAD MEDICARE PIN
5GNP000070MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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