Active NPI
Ucdavis Medical Center
- Critical Access Hospital
- Sacramento, CA
National Provider Identifier
1598088791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- LCS15526
- Legal business name
- UCDAVIS MEDICAL CENTER
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (916) 734-0412
- Fax
- (916) 734-5068
- NPI assigned
- Mar 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela Claire Hegner, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (916) 734-0412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | LCS15526 | CA | Primary |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-0412
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1598088791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-0412",
"fax_number": "916-734-5068"
},
{
"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": "916-734-0412",
"fax_number": "916-734-5068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UCDAVIS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "HEGNER",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "CLAIRE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "916-734-0412",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "CA",
"license": "LCS15526",
"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 Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.