Ucd Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

LCS17366 Issued in CA

Legal business name

UCD MEDICAL CENTER

Practice address

2315 Stockton Blvd
Sacramento, CA 95817-2201

Phone

(916) 734-2583

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Wanda Pratt, LCSW

Title

Supervisor

Phone

(916) 734-2583

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1578856811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172217",
            "telephone_number": "916-734-2583"
        },
        {
            "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": "916-734-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "916-734-2583",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "LCS17366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• UC Davis School of Medicine
• UC Davis School of Medicine
• UC Davis School of Medicine
• UC Davis Univ Dental Associates
• Ucd Caare Center
• Ucd-Som Neurological Surgery
• Ucdavis
• Ucdavis Medical Center
• Davina Gloria Uchegbu, DNP
• Ucp of Sacramento and Northern California

• Psychiatric Hospital Unit in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatric Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.