Organization Active NPI

UC Davis Student Health and Counseling Services

  • Student Health Clinic/Center
  • Davis, CA
National Provider Identifier
1073044350
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UC DAVIS STUDENT HEALTH AND COUNSELING SERVICES
Practice address
1 Shields Ave
SHCS
Davis, CA 95616-5270
Phone
(530) 752-2300
Fax
(530) 752-2306
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Cheryl Boney, MPH
Title
Administrative Services Director
Phone
(530) 752-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1 Shields Ave
SHCS
Davis, CA 95616-5270

Mailing address

1 Shields Ave
SHCS
Davis, CA 95616-5270

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0910542UC Davis1 Shields Ave, Davis, CA 95616Provider-performed microscopyJan 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
UC Davis Student Health and Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1073044350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHIELDS AVE",
            "address_2": "SHCS",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIELDS AVE",
            "address_2": "SHCS",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165270",
            "telephone_number": "530-752-2300",
            "fax_number": "530-752-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC DAVIS STUDENT HEALTH AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "BONEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES DIRECTOR",
        "authorized_official_telephone_number": "530-752-2300",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.