Univ. of Ca., Davis Medical Center

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

4016 Issued in CA

Legal business name

UNIV. OF CA., DAVIS MEDICAL CENTER

Practice address

4860 Y St
Suite 1100
Sacramento, CA 95817-2307

Phone

(916) 734-6716

Fax

(916) 734-6706

NPI assigned

Dec 8, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Patricia Padia Watters, OTR/L

Title

Otriii

Phone

(916) 734-6716

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023093408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 EUCLID AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221040",
            "telephone_number": "916-448-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "SUITE 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6716",
            "fax_number": "916-734-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIV. OF CA., DAVIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "PADIA",
        "authorized_official_title_or_position": "OTRIII",
        "authorized_official_telephone_number": "916-734-6716",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "4016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Hmong Shaman Temple, Inc
• United Home Care Services LLC
• United Way California Capital Region
• United Wellness Inc
• Unityaba Inc.
• Universal Health Net Sacramento
• Universal Med Express, LLC
• Universal Med Express, LLC
• Universal Medical Clinic, LLP
• Universal Medtrans, Inc.

• Pediatric Occupational Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.