NPIMap

Organization Active NPI

UC Davis Hemophilia Program

  • Hematology & Oncology Physician
  • Sacramento, CA
National Provider Identifier
1548454713
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G062311 Issued in CA
Legal business name
UC DAVIS HEMOPHILIA PROGRAM
Practice address
2360 Stockton Blvd Ste 1100
Sacramento, CA 95817-2283
Phone
(916) 734-3461
Fax
(916) 734-3591
NPI assigned
Aug 30, 2007
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF CALIFORNIA, DAVIS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Jonathan M Ducore, M.D.
Title
Director, Hemophilia Treatment Ctr
Phone
(916) 734-3461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G062311 CA Primary

Addresses

Primary practice location

2360 Stockton Blvd Ste 1100
Sacramento, CA 95817-2283

Mailing address

2360 Stockton Blvd Ste 1100
Sacramento, CA 95817-2283
Phone (916) 734-3461

National Provider Directory

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

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

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1548454713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 STOCKTON BLVD STE 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172283",
            "telephone_number": "916-734-3461",
            "fax_number": "916-734-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STOCKTON BLVD STE 1100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172283",
            "telephone_number": "916-734-3461",
            "fax_number": "916-734-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC DAVIS HEMOPHILIA PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CALIFORNIA, DAVIS MEDICAL CENTER",
        "enumeration_date": "2007-08-30",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "DUCORE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, HEMOPHILIA TREATMENT CTR",
        "authorized_official_telephone_number": "916-734-3461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G062311",
            "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 Oct 13, 2014; 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.