NPIMap

Organization Active NPI

University of California, Davis

  • Chronic Disease Hospital
  • Sacramento, CA
National Provider Identifier
1053620161
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
24419 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA, DAVIS
Practice address
2360 Stockton Blvd Ste 1100
Sacramento, CA 95817-2283
Phone
(916) 734-3461
Fax
(916) 734-3591
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Jerry Powell, MD
Title
Hemotology Oncology
Phone
(916) 734-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 24419 CA Primary

Addresses

Primary practice location

2360 Stockton Blvd Ste 1100
Sacramento, CA 95817-2283

Mailing address

2360 Stockton Blvd Ste 1100
Sacramento, CA 95817-2283
Phone (916) 734-3461

National Provider Directory

National Provider Directory
Tax ID family
UC Regents Rad Nuc Med57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1053620161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 STOCKTON BLVD STE 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172283",
            "telephone_number": "916-734-3461",
            "fax_number": "916-734-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STOCKTON BLVD STE 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172283",
            "telephone_number": "916-734-3461",
            "fax_number": "916-734-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "HEMOTOLOGY ONCOLOGY",
        "authorized_official_telephone_number": "916-734-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "CA",
            "license": "24419",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 7, 2010; 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.