Regents of the Univ of Ca
Organization Active NPI Family Medicine Physician · Sacramento, CA
NPI 1144213232 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1144213232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- REGENTS OF THE UNIV OF CA
- Practice address
- 4860 Y St
Sacramento, CA 95817-2307 - Phone
- (916) 734-9856
- Fax
- (916) 734-5641
- NPI assigned
- Aug 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Tammy Trovatten
- Title
- Vice President, Gov'T Reimbursement
- Phone
- (916) 855-2315
Corporate family (same tax ID) 19
Practitioners 42
-
Alicia Agnoli, MD
-
Klea D. Bertakis, M.D., M.P.H.
-
Noemi C Doohan, M.D.
-
Joshua J. Fenton, M.D., M.P.H.
-
Anna J. Gensel, MD
-
Miles Harris, FNP-BC
-
Anthony F. Jerant, M.D.
-
Anna Kong, MD
-
Sky Lee, MD
-
Huey C. Lin, M.D.
-
Elizabeth M Magnan, M.D.
-
Sarah Marshall, MD
-
Joy Melnikow, M.D., M.P.H.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000892 | CA | Part B Supplier - Clinic/Group Practice | 3375456619 |
Receives reassigned benefits from 2,647 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- UC Regents Rad Nuc Med
Locations
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
4860 Y St
Sacramento, CA 95817-2307
Mailing address
10850 White Rock Rd
Rancho Cordova, CA 95670-6044
Phone (916) 734-9200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI4127 | Other | CA | RAILROAD MEDICARE PIN |
| CR0028 | Other | CA | RAILROAD MEDICARE PIN |
| DE7275 | Other | CA | RAILROAD MEDICARE PIN |
| ZZZP5701Z | Other | CA | MEDICAID/CHDP PIN |
| GPS000040 | Medicaid | CA | |
| GR0021046 | Medicaid | CA | |
| GNP000070 | Medicaid | CA | |
| CN4400 | Other | CA | RAILROAD MEDICARE PIN |
| CN4844 | Other | CA | RAILROAD MEDICARE PIN |
| DA4168 | Other | CA | RAILROAD MEDICARE PIN |
Other names
- Regents/UCDPBG/FAM PRACT
Other providers in Sacramento, CA
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
All providers in Sacramento, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.