NPIMap

Organization Active NPI

University of California, Davis Medical Center

  • General Acute Care Hospital
  • Sacramento, CA
National Provider Identifier
1720063910
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
A82251 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA, DAVIS MEDICAL CENTER
Practice address
4150 V St
PSSB, G500
Sacramento, CA 95817-1460
Phone
(916) 734-3815
Fax
(916) 734-7766
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Matthew Scott Miles, MD
Title
Fellow
Phone
(916) 734-3815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A82251 CA Primary

Addresses

Primary practice location

4150 V St
PSSB, G500
Sacramento, CA 95817-1460

Mailing address

3215 Ryer Island St
W Sacramento, CA 95691-5832
Phone (916) 617-2673

Other identifiers 1

IdentifierTypeStateIssuer
A82251OtherCACA STATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
VA Hospital107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1720063910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 RYER ISLAND ST",
            "city": "W SACRAMENTO",
            "state": "CA",
            "postal_code": "956915832",
            "telephone_number": "916-617-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 V ST",
            "address_2": "PSSB, G500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460",
            "telephone_number": "916-734-3815",
            "fax_number": "916-734-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, DAVIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "FELLOW",
        "authorized_official_telephone_number": "916-734-3815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A82251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "A82251",
            "state": "CA"
        }
    ],
    "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 7, 2023; 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.