NPIMap

Organization Active NPI

Regents of the University of California

Doing business as UCDMC Pediatric Peritoneal Dialysis Home Training and Support

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sacramento, CA
National Provider Identifier
1235642950
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UCDMC Pediatric Peritoneal Dialysis Home Training and Support
Practice address
2521 Stockton Blvd Ste 2200
Sacramento, CA 95817-2207
Phone
(916) 734-2777
Fax
(916) 734-3234
NPI assigned
Nov 16, 2017
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Tammy Trovatten
Title
Vice President, Gov'T Reimbursement
Phone
(916) 855-2315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

2521 Stockton Blvd Ste 2200
Sacramento, CA 95817-2207

Mailing address

10850 White Rock Rd
Rancho Cordova, CA 95670-6044
Phone (916) 734-9200

Other names 1

  • UCDMC Pediatric Peritoneal Dialysis Home Training and Support Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190113000055 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 5799777066 Practice locations: Sacramento, CA

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
UC Davis Medical Center PediatricCCN 052405
Ownership
Non-profit
Certified
Aug 3, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
1

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Ucd Med Ctr DME and Sup32 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

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
UC Davis Medical Center - Rehab UnitSacramento, CA, CCN 05T599 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1973
University of California Davis - TransplantSacramento, CA, CCN 059808 Hospital Operational/Managerial Control (100%) Dec 1, 2013
UC Davis Rehabilitation HospitalSacramento, CA, CCN 053046 Hospital 5% Or Greater Direct Ownership Interest (49%) Apr 24, 2023
UC Davis Home Care ServicesRancho Cordova, CA, CCN 557006 Home health agency Operational/Managerial Control (100%) Aug 8, 1990
Hospice Program - Ucd Med CtrRancho Cordova, CA, CCN 051560 Hospice Operational/Managerial Control (100%) Oct 1, 1979

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1235642950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 WHITE ROCK RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706044",
            "telephone_number": "916-734-9200",
            "fax_number": "916-734-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 STOCKTON BLVD STE 2200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172207",
            "telephone_number": "916-734-2777",
            "fax_number": "916-734-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "TROVATTEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "VICE PRESIDENT, GOV'T REIMBURSEMENT",
        "authorized_official_telephone_number": "916-855-2315"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCDMC Pediatric Peritoneal Dialysis Home Training and Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.