NPIMap

Organization Active NPI

UC Davis Health System

  • Special Hospital
  • Sacramento, CA
National Provider Identifier
1033553425
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
1034086 Issued in CA
Legal business name
UC DAVIS HEALTH SYSTEM
Practice address
2315 Stockton Blvd
Sesp Op160
Sacramento, CA 95817-2201
Phone
(916) 703-3118
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Alexander Stefano NellaNPI 1225306111
Title
Clinical Dietitian II
Phone
(707) 367-0763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 1034086 CA
Special Hospital 284300000X 1034086 CA Primary

Addresses

Primary practice location

2315 Stockton Blvd
Sesp Op160
Sacramento, CA 95817-2201

Mailing address

2315 Stockton Blvd
Sesp Op160
Sacramento, CA 95817-2201

Other identifiers 1

IdentifierTypeStateIssuer
1034086OtherCACADE (COMMISSION ON ACCREDITATION FOR DIETETICS EDUCATION)

National Provider Directory

National Provider Directory

Locations

2315 Stockton Blvd
#160
Sacramento, CA 95817
Phone (916) 703-3118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1033553425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "SESP OP160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "SESP OP160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-703-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC DAVIS HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "NELLA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "STEFANO",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN II",
        "authorized_official_telephone_number": "707-367-0763"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "1034086",
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "1034086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADE (COMMISSION ON ACCREDITATION FOR DIETETICS EDUCATION)",
            "identifier": "1034086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.