Active NPI
Regents of the University of Ca
- Multi-Specialty Clinic/Center
- Sacramento, CA
National Provider Identifier
1093795643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- REGENTS OF THE UNIVERSITY OF CA
- Practice address
- 4860 Y St
Ste 1700
Sacramento, CA 95817 - Phone
- (916) 734-6039
- NPI assigned
- Jan 19, 2006
- 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
- Kurt J Slapnik, MD
- Title
- Cfo
- Phone
- (916) 734-8203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
4860 Y St
Ste 1700
Sacramento, CA 95817
Mailing address
4900 Broadway
Ste 1200
Sacramento, CA 95820-1532
Phone (916) 734-9654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRE001376 | Medicaid | CA |
Other names 1
- Regents UCDMG PCN ACC Ortho Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244160000000",
"number": "1093795643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 BROADWAY",
"address_2": "STE 1200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201532",
"telephone_number": "916-734-9654",
"fax_number": "916-736-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST",
"address_2": "STE 1700",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95817",
"telephone_number": "916-734-6039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIVERSITY OF CA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2009-06-05",
"status": "A",
"authorized_official_last_name": "SLAPNIK",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "916-734-8203",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GRE001376",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regents UCDMG PCN ACC Ortho Clinic",
"code": "5",
"type": "Other Name"
}
]
}
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 Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.