UC DAVIS MEDICAL CENTER NPI 1366493124

NPI Information

NPI: 1366493124
Provider Name: UC DAVIS MEDICAL CENTER
Classification: Chronic Disease Hospital - 281PC2000X
Entity Type: Organization

Specialization: Children

CLIA Number: 05D2300091

Address:
2825 50TH ST
SACRAMENTO, CA
ZIP 95817
Phone: (916) 703-0413
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UC DAVIS MEDICAL CENTER is a children chronic disease hospital in Sacramento, CA. UC DAVIS MEDICAL CENTER NPI is 1366493124. The provider is registered as an organization entity type.

The provider's business location address is:

2825 50TH ST
SACRAMENTO, CA
ZIP 95817-308
Phone: (916) 703-0413
Fax: (916) 703-0417

The provider's authorized official is Billur Moghaddam .
The authorized official title is Assistant Professor and has the following contact phone number (916) 703-0413.

The CLIA number assigned to this NPI record is 05D2300091 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 6/23/2008.

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	281PC2000X	Chronic Disease Hospital	Children	A89124	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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