Active NPI
Regents of the Univ of Ca
- Medical Microbiology Physician
- Davis, CA
National Provider Identifier
1053304071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Microbiology Physician
- Legal business name
- REGENTS OF THE UNIV OF CA
- Practice address
- 3146 Tupper Hall
Davis, CA 95616 - Phone
- (530) 752-9402
- NPI assigned
- Aug 24, 2005
- Last updated
- May 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Trovatten
- Title
- Vice President, Gov'T Reimbursement
- Phone
- (916) 855-2315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Microbiology Physician | 207ZM0300X | NU | Primary |
Addresses
Primary practice location
3146 Tupper Hall
Davis, CA 95616
Mailing address
10850 White Rock Rd
Rancho Cordova, CA 95670-6044
Phone (916) 734-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR002104C | Medicaid | CA |
Other names 1
- Regents UCDPBG Microbio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000892 | CA | Part B Supplier - Clinic/Group Practice | 3375456619 |
Receives reassigned benefits from 2,647 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1053304071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 WHITE ROCK RD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706044",
"telephone_number": "916-734-9200",
"fax_number": "916-734-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3146 TUPPER HALL",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-752-9402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIV OF CA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A",
"authorized_official_last_name": "TROVATTEN",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "VICE PRESIDENT, GOV'T REIMBURSEMENT",
"authorized_official_telephone_number": "916-855-2315"
},
"taxonomies": [
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR002104C",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regents UCDPBG Microbio",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Regents UCDPBG Microbio",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Davis, CA
- Kathryn Reeve
- Colleen Reeves, NP
- Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation (Kids Care Dentist Collective - Davis)
- Claire Elizabeth Regan
- Melissa B Regan, LMFT
- Regents of the University of Ca
- Regents of the University of California (UC Davis Clinic Pharmacy in Davis)
- Regents of the University of California (UCD Coccidioidomycosis Serology Laboratory)
- Regents of the University of California
- Alberta Reid
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.