Regents of the University of Ca
Organization Active NPI Surgery Physician · Sacramento, CA
NPI 1326031345 · NPPES record last updated May 16, 2011
Key facts
- NPI
- 1326031345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- REGENTS OF THE UNIVERSITY OF CA
- Practice address
- 2221 Stockton Blvd
Sacramento, CA 95817-1418 - Phone
- (916) 734-7313
- Fax
- (916) 734-2919
- NPI assigned
- Aug 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Allan D Siefkin, MD
- Title
- Cmo
- Phone
- (916) 734-1166
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- UC Regents Rad Nuc Med
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
2221 Stockton Blvd
Sacramento, CA 95817-1418
Mailing address
4900 Broadway
Suite 2600
Sacramento, CA 95820-1532
Phone (916) 734-9200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA4168 | Other | CA | RAILROAD MEDICARE PIN |
| CI4127 | Other | CA | RAILROAD MEDICARE PIN |
| CN4400 | Other | CA | RAILROAD MEDICARE PIN |
| CR0028 | Other | CA | RAILROAD MEDICARE PIN |
| DE7275 | Other | CA | RAILROAD MEDICARE PIN |
| GR0021048 | Medicaid | CA | |
| CN4844 | Other | CA | RAILROAD MEDICARE PIN |
| GNP000070 | Medicaid | CA |
Other names
- Regents UCDPBG Surgery
Other providers in Sacramento, CA
- Regents of the University of Ca
- Regents of the University of Ca
- Regents of the University of Ca
- Regents of the University of Ca
- Regents of the University of Ca
- Regents of the University of Ca
- Regents of the University of Ca
- Regents of the University of Ca
- Regents of the University of Ca
- Regents of the University of Ca
All providers in Sacramento, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.