NPIMap

Organization Active NPI

UC Davis

  • Chronic Disease Hospital
  • Sacramento, CA
National Provider Identifier
1194089458
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
Legal business name
UC DAVIS
Practice address
4610 X St
Sacramento, CA 95817-2200
Phone
(916) 762-0779
NPI assigned
Jul 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2012

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

Authorized official

Name
Connie Freeman-Rowland
Title
Clerkship Coordinator
Phone
(916) 734-2356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X Primary

Addresses

Primary practice location

4610 X St
Sacramento, CA 95817-2200

Mailing address

4610 X St
Sacramento, CA 95817-2200
Phone (916) 762-0779

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2303072UC Davis Health - Pathology Faculty Offices4610 X Street, Sacramento, CA 95817AccreditationJan 13, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341100800000",
    "number": "1194089458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172200",
            "telephone_number": "916-762-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 X ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172200",
            "telephone_number": "916-762-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-07-01",
        "status": "A",
        "authorized_official_last_name": "FREEMAN-ROWLAND",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CLERKSHIP COORDINATOR",
        "authorized_official_telephone_number": "916-734-2356"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": null,
            "license": null,
            "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 Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.