Active NPI
Regents of the Univ of Ca
- Plastic Surgery Physician
- Sacramento, CA
National Provider Identifier
1275526337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- REGENTS OF THE UNIV OF CA
- Practice address
- 3301 C St
Sacramento, CA 95816-3300 - Phone
- (916) 734-7844
- Fax
- (916) 734-0803
- NPI assigned
- Aug 24, 2005
- Last updated
- May 16, 2025
- 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
- Tammy Trovatten
- Title
- Vice President, Gov'T Reimbursement
- Phone
- (916) 855-2315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
3301 C St
Sacramento, CA 95816-3300
Mailing address
10850 White Rock Rd
Rancho Cordova, CA 95670-6044
Phone (916) 734-9200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR002104R | Medicaid | CA | |
| DA4168 | Other | CA | RAILROAD MEDICARE PIN |
| CN4844 | Other | CA | RAILROAD MEDICARE PIN |
| GNP000070 | Medicaid | CA | |
| DE7275 | Other | CA | RAILROAD MEDICARE PIN |
| CR0028 | Other | CA | RAILROAD MEDICARE PIN |
| CI4127 | Other | CA | RAILROAD MEDICARE PIN |
| CN4400 | Other | CA | RAILROAD MEDICARE PIN |
Other names 1
- Regents UCD PBG Sur Plast
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 34
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sacramento, CA
- NPI 1366115297
Single Specialty
-
- Surgery Physician
- Sacramento, CA
- NPI 1861474199
-
- Surgery Physician
- Sacramento, CA
- NPI 1295239002
-
- Surgery Physician
- Sacramento, CA
- NPI 1477903086
-
- Physician Assistant
- Sacramento, CA
- NPI 1003457565
-
- Surgical Physician Assistant
- Sacramento, CA
- NPI 1083043210
-
- Nurse Practitioner
- Sacramento, CA
- NPI 1700865151
-
- Medical Physician Assistant
- Sacramento, CA
- NPI 1760092688
-
- Surgery of the Hand (Plastic Surgery) Physician
- Sacramento, CA
- NPI 1356573570
-
- Psychiatric/Mental Health Nurse Practitioner
- Sacramento, CA
- NPI 1720758360
-
- Surgery Physician
- Sacramento, CA
- NPI 1194709444
-
- Plastic Surgery Physician
- Sacramento, CA
- NPI 1730373366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1275526337",
"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": "3301 C ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958163300",
"telephone_number": "916-734-7844",
"fax_number": "916-734-0803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENTS OF THE UNIV OF CA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"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": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR002104R",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "DA4168",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "CN4844",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GNP000070",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "DE7275",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "CR0028",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "CI4127",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "CN4400",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regents UCD PBG Sur Plast",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Regents UCD PBG Sur Plast",
"code": "5",
"type": "Other Name"
}
]
}
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 (UC Davis Health Center for Diagnostic Innovation)
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca
- Regents of the Univ of Ca (UCD Professional Billing Group)
- Regents of the Univ of Ca
- Regents of the Univ of Ca
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.