NPIMap

Organization Active NPI

Regents of the University of California

Doing business as UC Davis Health at Home - Home Infusion

  • Home Infusion Therapy Pharmacy
  • Sacramento, CA
National Provider Identifier
1396498580
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UC Davis Health at Home - Home Infusion
Practice address
3575 Business Dr
Suite 1601
Sacramento, CA 95820
Phone
(916) 703-4663
Fax
(916) 200-3145
NPI assigned
Jan 28, 2022
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Infusion Therapy Clinic/Center 261QI0500X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

3575 Business Dr
Suite 1601
Sacramento, CA 95820

Mailing address

2315 Stockton Blvd
Attn: Pharmacy Administration
Sacramento, CA 95817
Phone (916) 734-2124

Other identifiers 2

IdentifierTypeStateIssuer
5676777OtherNCPDP
5676777OtherCABOARD OF PHARMACY

Other names 1

  • UC Davis Health at Home - Home Infusion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230417002787 CA Part B Supplier - Home Infusion Therapy Supplier 5799777066 Practice locations: Sacramento, CA
O20230509001151 CA DME Supplier - Pharmacy 5799777066 Practice locations: 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).

National Provider Directory

National Provider Directory
Tax ID family
Ucd Med GRP Univ Med As32 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

550 W Ranch View Dr
Ste 1600
Rocklin, CA 95765
Phone (916) 295-5859

3575 Business Dr
Ste 1601
Sacramento, CA 95820
Phone (916) 703-4663

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.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1396498580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "ATTN: PHARMACY ADMINISTRATION",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-734-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 BUSINESS DR",
            "address_2": "SUITE 1601",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95820",
            "telephone_number": "916-703-4663",
            "fax_number": "916-200-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "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": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5676777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "5676777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC Davis Health at Home - Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.