Active NPI
UC Davis
- General Acute Care Hospital
- Sacramento, CA
National Provider Identifier
1093860033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- LCS 22384
- Legal business name
- UC DAVIS
- Practice address
- 2521 Stockton Blvd Ste 3200
Sacramento, CA 95817-2207 - Phone
- (916) 734-0561
- NPI assigned
- Jan 23, 2007
- 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
- Ms. Kitty Olivia Olmos, L.C.S.W.
- Title
- Clinical Social Worker
- Phone
- (916) 734-8738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | LCS 22384 | CA | Primary |
Addresses
Primary practice location
2521 Stockton Blvd Ste 3200
Sacramento, CA 95817-2207
Mailing address
2521 Stockton Blvd Ste 3200
Sacramento, CA 95817-2207
Phone (916) 734-0561
National Provider Directory
National Provider Directory- Tax ID family
- Ucd Med GRP Pediatric
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093860033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 STOCKTON BLVD STE 3200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172207",
"telephone_number": "916-734-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 STOCKTON BLVD STE 3200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172207",
"telephone_number": "916-734-0561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UC DAVIS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OLMOS",
"authorized_official_first_name": "KITTY",
"authorized_official_middle_name": "OLIVIA",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "916-734-8738",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "LCS 22384",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.