NPIMap

Organization Active NPI

UC Davis Medical Center

  • Children's Chronic Disease Hospital
  • Sacramento, CA
National Provider Identifier
1366493124
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Chronic Disease HospitalTaxonomy code 281PC2000X
License
A89124 Issued in CA
Legal business name
UC DAVIS MEDICAL CENTER
Practice address
2825 50TH St
Sacramento, CA 95817-2308
Phone
(916) 703-0413
Fax
(916) 703-0417
NPI assigned
May 15, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Billur Moghaddam, M.D.NPI 1326209461
Title
Assistant Professor
Phone
(916) 703-0413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Chronic Disease Hospital 281PC2000X A89124 CA Primary

Addresses

Primary practice location

2825 50TH St
Sacramento, CA 95817-2308

Mailing address

2825 50TH St
Sacramento, CA 95817-2308
Phone (916) 703-0413

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1366493124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 50TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172308",
            "telephone_number": "916-703-0413",
            "fax_number": "916-703-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 50TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172308",
            "telephone_number": "916-703-0413",
            "fax_number": "916-703-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC DAVIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MOGHADDAM",
        "authorized_official_first_name": "BILLUR",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "916-703-0413",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "281PC2000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital, Children",
            "state": "CA",
            "license": "A89124",
            "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 Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.