U.C. Davis Medical Center

Primary specialty

OrthotistTaxonomy code 222Z00000X

Legal business name

U.C. DAVIS MEDICAL CENTER

Practice address

2315 Stockton Blvd
Sacramento, CA 95817-2201

Phone

(916) 734-7045

NPI assigned

Dec 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Peter D. Santiago, C.O.

Title

Chief Orthotist

Phone

(916) 734-7045

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497732234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 PRISCILLA LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958206123"
        },
        {
            "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": "916-734-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.C. DAVIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF ORTHOTIST",
        "authorized_official_telephone_number": "916-734-7045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDORTHIST",
            "identifier": "C.PED 1804",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIST",
            "identifier": "CO1419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelin E Tyson
• Cynthia Tze
• David Z Tzeng, M.D.
• Leah S Tzimenatos, MD
• U Smile Family Dentistry
• U.S. Healthworks Medical Group, PC
• U.S. Healthworks Medical Group, PC
• Uap Sacramento, PC
• Eduard Baldo Ubaldo
• Jamiee Ubhoff, RH

• Orthotist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Orthotist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.