Organization Active NPI

Regents of the University of California

Doing business as University of California Davis Medical Center CAARE Center

  • Pediatrics Physician
  • Sacramento, CA
National Provider Identifier
1114180635
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
University of California Davis Medical Center CAARE Center
Practice address
3671 Business Dr
Sacramento, CA 95820-2165
Phone
(916) 734-6637
Fax
(916) 734-4150
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Mr. Eric C VargasNPI 1225389984
Title
C.H.P. Assistant Chief
Phone
(916) 734-6637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3671 Business Dr
Sacramento, CA 95820-2165

Mailing address

3671 Business Dr
Sacramento, CA 95820-2165
Phone (916) 734-6637

Other identifiers 10

IdentifierTypeStateIssuer
CR0028OtherCARAILROAD MEDICARE PIN
CN4844OtherCARAILROAD MEDICARE PIN
GR002104MMedicaidCA
DE7275OtherCARAILROAD MEDICARE PIN
GNP000070MedicaidCA
CI4127OtherCARAILROAD MEDICARE PIN
DA4168OtherCARAILROAD MEDICARE PIN
CN4400OtherCARAILROAD MEDICARE PIN
GPS000040MedicaidCA
ZZZP5701ZOtherCAMEDICAID/CHDP PIN

Other names 1

  • University of California Davis Medical Center CAARE Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ucd Med GRP Pediatric32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1114180635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 BUSINESS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202165",
            "telephone_number": "916-734-6637",
            "fax_number": "916-734-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 BUSINESS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202165",
            "telephone_number": "916-734-6637",
            "fax_number": "916-734-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "C.H.P. ASSISTANT CHIEF",
        "authorized_official_telephone_number": "916-734-6637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CR0028",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CN4844",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR002104M",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DE7275",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GNP000070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CI4127",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DA4168",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CN4400",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS000040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID/CHDP PIN",
            "identifier": "ZZZP5701Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of California Davis Medical Center CAARE Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2023; 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.