REGENTS OF THE UNIVERSITY OF CA NPI 1104815067

NPI Information

NPI: 1104815067
Provider Name: REGENTS OF THE UNIVERSITY OF CA
Classification: Pediatrics - 2080P0203X
Specialization: Pediatric Critical Care Medicine
Entity Type: Organization
:
Address: 2521 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-3179

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NPI Details

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 .

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 Tammy Trovatten .
The authorized official title is Vice President, Gov't Reimbursement and has the following contact phone number (916) 855-2315.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 5/16/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0203X	Pediatrics	Pediatric Critical Care Medicine			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CR0028	OTHER	CALIFORNIA	RAILROAD MEDICARE PIN
2	ZZZP5701Z	OTHER	CALIFORNIA	MEDICAID/CHDP PIN
3	GNP000070	MEDICAID	CALIFORNIA
4	GRW02104J	MEDICAID	CALIFORNIA
5	CI4127	OTHER	CALIFORNIA	RAILROAD MEDICARE 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: 3/30/2025

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