Regents of the University of California
Organization Active NPI Multi-Specialty Clinic/Center · Folsom, CA
NPI 1154301745 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1154301745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Practice address
- 251 Turn Pike Dr
Folsom, CA 95630-8098 - Phone
- (916) 985-9300
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Allen D Hall
- Title
- Medical Director
- Phone
- (916) 734-8203
Other NPIs on the same Medicare enrollment 24
Practitioners 89
-
Mariya Alder, NP
-
Jamie Elizabeth Anderson, M.D.
-
Armin Barekatain, MD
-
David Benavides, OTR/L
-
Courtnie Billett, M.D.
-
James David Brandt, M.D.
-
Katie Rose Christensen, PA-C
-
Maneesh Dave, M.D, MPH
-
Scott M. Fishman, M.D.
-
Rita Elena Flores, AU.D.
-
Jeffrey Neil Glover, LCSW
-
Kelly Griffin, MD
-
Hung Ho, M.D.
-
Hisham Hussan, M.D.
-
Manoj Kesarwani, M.D.
-
Paul G. Kreis, M.D.
-
Robert Kucejko, M.D.
-
Gina Lokna, M.D.
-
Hiep D Ma, PA-C
-
Janet Meda, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118001149 | CA | Part B Supplier - Clinic/Group Practice | 8022922475 |
Receives reassigned benefits from 924 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sacramento, CA; Stockton, CA; Walnut Creek, CA; Roseville, CA; Auburn, CA; Chico, CA; Citrus Heights, CA; Davis, CA… |
National Provider Directory
Locations
14264 Innovation Dr
Fl 3
Folsom, CA 95630
14264 Innovation Dr
Fl Second
Folsom, CA 95630
14264 Innovation Dr
Ste 100
Folsom, CA 95630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
251 Turn Pike Dr
Folsom, CA 95630-8098
Mailing address
10850 White Rock Rd
Rancho Cordova, CA 95670-6044
Phone (916) 734-9255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR006392K | Medicaid | CA |
Other names
- UC Davis Medical Group
Other providers in Folsom, CA
- Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation
- Jill Reeves
- Jessie Regan
- Regency Eye Care, Inc.
- Regents of the University of California
- Regents of the University of California
- Rehabilitation & Occupational Consultants
- Rehabilitation and Occupational Consultants
- Karen Marie Reid
- Scott Alan Reiman
All providers in Folsom, CA · Multi-Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. 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.