Active NPI
UC Davis Medical Center
- Children's Chronic Disease Hospital
- Sacramento, CA
National Provider Identifier
1366493124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Chronic Disease Hospital
- License
- A89124
- 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
- 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
- Billur Moghaddam, M.D.
- Title
- Assistant Professor
- Phone
- (916) 703-0413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.