REGENTS OF THE UNIVERSITY OF CALIFORNIA NPI 1912987553

NPI Information

  • NPI: 1912987553
  • Provider Name: REGENTS OF THE UNIVERSITY OF CALIFORNIA
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Other Name: UC DAVIS MEDICAL GROUP
  • CLIA Number: 05D0937936
  • Address: 2660 W COVELL BLVD
    DAVIS, CA
    ZIP 95616
  • Phone: (530) 747-3000

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NPI Details

REGENTS OF THE UNIVERSITY OF CALIFORNIA is a multi-specialty clinic center in Davis, CA. REGENTS OF THE UNIVERSITY OF CALIFORNIA NPI is 1912987553. The provider is registered as an organization entity type.
The provider Other Name Is Uc Davis Medical Group.

The provider's business location address is:

2660 W COVELL BLVD
DAVIS, CA
ZIP 95616-645
Phone: (530) 747-3000

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 CLIA number assigned to this NPI record is 05D0937936 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/19/2006 and was last updated on 10/9/2023.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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
1GR0063734MEDICAIDCALIFORNIA

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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