NPIMap

Organization Active NPI

Ucd-Som Neurological Surgery

  • Medicare Defined Swing Bed Hospital Unit
  • Sacramento, CA
National Provider Identifier
1700936309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
11306 Issued in CA
Legal business name
UCD-SOM NEUROLOGICAL SURGERY
Practice address
2315 Stockton Boulevard, Suite 3740 Acc
Sacramento, CA 95817-2201
Phone
(916) 734-3658
Fax
(916) 703-5368
NPI assigned
Jan 12, 2007
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
Bridget M. Wilson, RN, NP
Title
Nurse Practitioner
Phone
(916) 734-3658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 11306 CA Primary

Addresses

Primary practice location

2315 Stockton Boulevard, Suite 3740 Acc
Sacramento, CA 95817-2201

Mailing address

4860 Y St Ste 3740
Sacramento, CA 95817-2307
Phone (916) 734-3658

National Provider Directory

National Provider Directory
Tax ID family
Ucd Med GRP Pediatric32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

2315 Stockton Blvd
Ste 3740
Sacramento, CA 95817
Phone (916) 734-6512

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700936309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3740",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-3658",
            "fax_number": "916-703-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BOULEVARD, SUITE 3740 ACC",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-3658",
            "fax_number": "916-703-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCD-SOM NEUROLOGICAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "916-734-3658",
        "authorized_official_credential": "RN, NP"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "CA",
            "license": "11306",
            "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.