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REGENTS OF THE UNIVERSITY OF CA NPI 1356334452


NPI Information

NPI: 1356334452
Provider Name: REGENTS OF THE UNIVERSITY OF CA

Other Name: REGENTS UCDPBG PED HEMOC

Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

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 hematology-oncology pediatrics in Sacramento, CA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. REGENTS OF THE UNIVERSITY OF CA NPI is 1356334452. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Regents Ucdpbg Ped Hemoc.

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 8/24/2005 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
12080P0207XPediatricsPediatric Hematology-OncologyYes

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
1GRW021040MEDICAIDCALIFORNIA
2GNP000070MEDICAIDCALIFORNIA
3ZZZP5701ZOTHERCALIFORNIAMEDICAID/CHDP PIN

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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