REGENTS OF THE UNIVERSITY OF CA. NPI 1255529236

NPI Information

NPI: 1255529236
Provider Name: REGENTS OF THE UNIVERSITY OF CA.

Other Name: UC DAVIS MEDICAL GROUP

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
8110 LAGUNA BLVD
ELK GROVE, CA
ZIP 95758
Phone: (916) 683-3955
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REGENTS OF THE UNIVERSITY OF CA. is a primary podiatric medicine podiatrist in Elk Grove, CA. REGENTS OF THE UNIVERSITY OF CA. NPI is 1255529236. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Uc Davis Medical Group.

The provider's business location address is:

8110 LAGUNA BLVD
ELK GROVE, CA
ZIP 95758-904
Phone: (916) 683-3955
Fax: (916) 736-1419

The provider's authorized official is Allen D Hall .
The authorized official title is Cfo and has the following contact phone number (916) 734-9200.

The CLIA number assigned to this NPI record is 05D0915224 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/4/2007 and was last updated on 2/7/2022.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	E4735	CALIFORNIA	Yes

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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