Active NPI
UC Davis Medical Center
- Critical Access Hospital
- Sacramento, CA
National Provider Identifier
1285616524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- UC DAVIS MEDICAL CENTER
- Practice address
- 2360 Stockton Blvd
Suite 1100
Sacramento, CA 95817-2228 - Phone
- (916) 734-3461
- NPI assigned
- Nov 14, 2005
- 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
- Ms. Maiarisha Green, MSW
- Title
- Community Health Rep/Social Worker
- Phone
- (916) 734-3461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Primary |
Addresses
Primary practice location
2360 Stockton Blvd
Suite 1100
Sacramento, CA 95817-2228
Mailing address
1363 Foxboro Way
Sacramento, CA 95833-1020
Phone (916) 730-3412
National Provider Directory
National Provider DirectoryLocations
2360 Stockton Blvd
Ste 1100
Sacramento, CA 95817
Phone (916) 734-3461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285616524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 FOXBORO WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958331020",
"telephone_number": "916-730-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 STOCKTON BLVD",
"address_2": "SUITE 1100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172228",
"telephone_number": "916-734-3461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UC DAVIS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "MAIARISHA",
"authorized_official_title_or_position": "COMMUNITY HEALTH REP/SOCIAL WORKER",
"authorized_official_telephone_number": "916-734-3461",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.