Active NPI
UC Davis Medical Center
- General Acute Care Hospital
- Sacramento, CA
National Provider Identifier
1215200712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- D2916188
- Legal business name
- UC DAVIS MEDICAL CENTER
- Practice address
- 4860 Y St
1100, UC Davis Medical Center
Sacramento, CA 95817 - Phone
- (916) 734-6718
- NPI assigned
- Feb 14, 2012
- 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
- Dr. Christine Davis, PH.D.
- Title
- Head Speech Pathologist
- Phone
- (916) 734-6730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | D2916188 | CA | Primary |
Addresses
Primary practice location
4860 Y St
1100, UC Davis Medical Center
Sacramento, CA 95817
Mailing address
4057 Aragon Way
Rancho Cordova, CA 95742-8005
Phone (916) 734-6718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00017962100 | Other | CA | WESTERN HEALTH ADVANTAGE |
National Provider Directory
National Provider DirectoryLocations
4860 Y St
#1100
Sacramento, CA 95817
Phone (916) 734-3467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1215200712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4057 ARAGON WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957428005",
"telephone_number": "916-734-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST",
"address_2": "1100, UC DAVIS MEDICAL CENTER",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95817",
"telephone_number": "916-734-6718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UC DAVIS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "HEAD SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "916-734-6730",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "D2916188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WESTERN HEALTH ADVANTAGE",
"identifier": "00017962100",
"state": "CA"
}
],
"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 Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.