NPIMap

Organization Active NPI

Regents of the University of California

  • Clinical Medical Laboratory
  • Davis, CA
National Provider Identifier
1386895068
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice address
3146 Tupper Hall
Tupper Hall, Health Sciences Drive
Davis, CA 95616
Phone
(530) 752-1757
Fax
(530) 752-8692
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Tammy Trovatten
Title
Director, Government Reimbursement
Phone
(916) 734-9112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3146 Tupper Hall
Tupper Hall, Health Sciences Drive
Davis, CA 95616

Mailing address

10545 Armstrong Ave Ste 1200
Mather, CA 95655-4101
Phone (916) 734-9112

Other names 1

  • UCD Coccidioidomycosis Serology Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
UC Regents Rad Nuc Med57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

10545 Armstrong Ave
Ste 1200
Mather, CA 95655

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1386895068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 ARMSTRONG AVE STE 1200",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554101",
            "telephone_number": "916-734-9112",
            "fax_number": "916-734-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 TUPPER HALL",
            "address_2": "TUPPER HALL, HEALTH SCIENCES DRIVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95616",
            "telephone_number": "530-752-1757",
            "fax_number": "530-752-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "TROVATTEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR, GOVERNMENT REIMBURSEMENT",
        "authorized_official_telephone_number": "916-734-9112"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCD Coccidioidomycosis Serology Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.