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REGENTS OF UNIVERSITY OF CALIFORNIA NPI 1821014374


NPI Information

NPI: 1821014374
Provider Name: REGENTS OF UNIVERSITY OF CALIFORNIA

Other Name: UCSF FRESNO MEDICAL GROUP

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2335 E KASHIAN LN STE 301
FRESNO, CA
ZIP 93701
Phone: (559) 227-4810
Get Directions

REGENTS OF UNIVERSITY OF CALIFORNIA is a neurology psychiatry neurology in Fresno, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. REGENTS OF UNIVERSITY OF CALIFORNIA NPI is 1821014374. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ucsf Fresno Medical Group.

The provider's business location address is:

2335 E KASHIAN LN STE 301
FRESNO, CA
ZIP 93701-234
Phone: (559) 227-4810

The provider's authorized official is Michael Peterson .
The authorized official title is Associate Dean and has the following contact phone number (559) 227-4810.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 1/11/2019.


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
1103G00000XClinical NeuropsychologistPSY20822CALIFORNIANo
2103G00000XClinical NeuropsychologistPSY19509CALIFORNIANo
3207QG0300XFamily MedicineGeriatric MedicineG401330CALIFORNIANo
42084N0400XPsychiatry & NeurologyNeurologyG75668CALIFORNIAYes
52084P0800XPsychiatry & NeurologyPsychiatry20A7888CALIFORNIANo

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
12342434MEDICAIDCALIFORNIA
21821014374OTHERCALIFORNIAMEDICARE NPI
39151935MEDICAIDCALIFORNIA
4GPS001380MEDICAIDCALIFORNIA
5CK5696OTHERCALIFORNIARAILROAD MEDICARE
6GR0091021MEDICAIDCALIFORNIA
7ZZZ52969YOTHERCALIFORNIABLUE OF CALIFORNIA

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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