Regents of the Univ of Ca

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

REGENTS OF THE UNIV OF CA

Practice address

2315 Stockton Blvd
Sacramento, CA 95817-2201

Phone

(916) 703-2261

Fax

(916) 703-2258

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Tammy Trovatten

Title

Vice President, Gov'T Reimbursement

Phone

(916) 855-2315

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Regents UCDPBG Radiology Other name

Medicare fee-for-service enrollment

Enrolled in CA, NV, FL, DC, WA, OR, TX, CO, MD, AZ, KY, MO, GA, TN, MA, NY, MN, OH, PA, NC, VA, IA, OK, VT, MI25 enrollments

Enrollment records 25

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Regents of the Univ of Ca

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013906973

  3375456619

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Regents of the University of Ca

  • Nephrology Physician
  • Sacramento, CA
  • NPI 1710970736

  O20091022000002

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Regents of the Univ of Ca

  • Reproductive Endocrinology Physician
  • Sacramento, CA
  • NPI 1992798912

  Member Of

  NPD member

Locations (25 of 30)

Practitioners 2,618

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen J Adams, D.O.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1376689778

  AZ

  Medicare reassignment Care Compare group NPD
• Mary Margaret Alfidi, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1992814396

  FL, OH

  Medicare reassignment Care Compare group NPD
• Michael Scott Allen, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1083662654

  TX

  Medicare reassignment Care Compare group NPD
• Matthew J Austin, MD

  • Neuroradiology Physician
  • Richmond, VA
  • NPI 1447463658

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Reem Saadeh Awwad, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1811158967

  TN

  Medicare reassignment Care Compare group NPD
• Jeffrey Victor Behar, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1912987942

  NV

  Medicare reassignment Care Compare group NPD
• Logan Curtis Bisset

  • Diagnostic Radiology Physician
  • Durham, NC
  • NPI 1356760276
  Medicare reassignment Care Compare group NPD
• Samuel N Bone III, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1841216306

  NC

  Medicare reassignment Care Compare group NPD
• Michael Braaton, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1578547931

  CO

  Medicare reassignment Care Compare group NPD
• Deborah J. Conway, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1982777033

  GA

  Medicare reassignment Care Compare group NPD
• Sanjam Dhillon, M.D

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1699928150

  TN

  Medicare reassignment Care Compare group NPD
• Andre J Duerinckx, MD PHD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1760434625

  MD

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1477546406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 WHITE ROCK RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706044",
            "telephone_number": "916-734-9200",
            "fax_number": "916-734-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-703-2261",
            "fax_number": "916-703-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIV OF CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "TROVATTEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "VICE PRESIDENT, GOV'T REIMBURSEMENT",
        "authorized_official_telephone_number": "916-855-2315"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID/CHDP PIN",
            "identifier": "ZZZP5701Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CN4844",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DA4168",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CI4127",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DE7275",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GNP000070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CN4400",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR002104U",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CR0028",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regents UCDPBG Radiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Regents UCDPBG Radiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Regents of the Univ of Ca
• Regents of the Univ of Ca
• Regents of the Univ of Ca
• Regents of the Univ of Ca
• Regents of the Univ of Ca
• Regents of the Univ of Ca
• Regents of the Univ of Ca
• Regents of the Univ of Ca
• Regents of the Univ of Ca
• Regents of the Univ of Ca

• Diagnostic Radiology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.