REGENTS OF THE UNIVERSITY OF CALIFORNIA NPI 1871573428

NPI Information

NPI: 1871573428
Provider Name: REGENTS OF THE UNIVERSITY OF CALIFORNIA

Other Name: REGENTS UCDMG RANCHO

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3201 DATA DRIVE
RANCHO CORDOVA, CA
ZIP 95670
Phone: (916) 635-4120
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REGENTS OF THE UNIVERSITY OF CALIFORNIA is a multi-specialty clinic center in Rancho Cordova, CA. REGENTS OF THE UNIVERSITY OF CALIFORNIA NPI is 1871573428. The provider is registered as an organization entity type.
The provider Other Name Is Regents Ucdmg Rancho.

The provider's business location address is:

3201 DATA DRIVE
RANCHO CORDOVA, CA
ZIP 95670-374
Phone: (916) 635-4120

The provider's authorized official is Allen D Hall .
The authorized official title is Medical Director and has the following contact phone number (916) 734-8203.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 12/21/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QI0500X	Clinic/Center	Infusion Therapy			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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	GR0063923	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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