NPIMap

Organization Active NPI

Regents of the University of California

Doing business as UC Davis 48X Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1336487685
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
43732 Issued in CA
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UC Davis 48X Outpatient Pharmacy
Practice address
4868 X St Ste 1500
Sacramento, CA 95817-2205
Phone
(916) 734-6250
NPI assigned
Jan 22, 2013
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Jennifer Doll
Title
Chief Financial Officer
Phone
(916) 734-9446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 43732 CA Primary

Addresses

Primary practice location

4868 X St Ste 1500
Sacramento, CA 95817-2205

Mailing address

PO Box 744719
Los Angeles, CA 90074-4719

Other identifiers 3

IdentifierTypeStateIssuer
5646320OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHE60029OtherCACALIFORNIA STATE BOARD OF PHARMACY
1336487685MedicaidCA

Other names 1

  • UC Davis 48X Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170825000361 CA DME Supplier - Pharmacy 5799777066 Practice locations: Sacramento, CA
O20221222002314 CA Part B Supplier - Pharmacy 5799777066 1 other NPI on this enrollment
Practice locations: Davis, CA; 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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Regents of the University of Califo4868 X St, Sacramento, CA 95817-2205(916) 734-6250 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 1, 2024

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

Locations

2315 Stockton Blvd
Rm 1310
Sacramento, CA 95817
Phone (916) 734-3305

4860 Y St
Rm 1200
Sacramento, CA 95817

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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1336487685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744719",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 X ST STE 1500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172205",
            "telephone_number": "916-734-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "916-734-9446"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "43732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5646320",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "PHE60029",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336487685",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC Davis 48X Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.