NPIMap

Organization Active NPI

University of California, Davis Medical Center

  • General Acute Care Hospital
  • Sacramento, CA
National Provider Identifier
1508831363
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A90468 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA, DAVIS MEDICAL CENTER
Practice address
4400 V St
Sacramento, CA 95817-1445
Phone
(916) 734-7954
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Penny Young
Title
Residency Fellowship Coordinator
Phone
(916) 734-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A90468 CA Primary

Addresses

Primary practice location

4400 V St
Sacramento, CA 95817-1445

Mailing address

4757 Dickens Dr
Granite Bay, CA 95746-6639
Phone (916) 367-3852

National Provider Directory

National Provider Directory
Tax ID family
University of California Davis Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508831363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 DICKENS DR",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466639",
            "telephone_number": "916-367-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 V ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171445",
            "telephone_number": "916-734-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, DAVIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "RESIDENCY FELLOWSHIP COORDINATOR",
        "authorized_official_telephone_number": "916-734-3331"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A90468",
            "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 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.