Regents of University of California

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G75668 Issued in CA

Legal business name

REGENTS OF UNIVERSITY OF CALIFORNIA

Practice address

2335 E Kashian LN Ste 301
Fresno, CA 93701-2234

Phone

(559) 227-4810

NPI assigned

Jul 15, 2006

Last updated

Jan 11, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

UNIVERSITY OF CA SAN FRANSICOAs reported in NPPES

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

Authorized official

Name

Dr. Michael Peterson, M..D.NPI 1437178985

Title

Associate Dean

Phone

(559) 227-4810

Specialties & licenses 5

Addresses

Other identifiers 7

Other names 1

• UCSF Fresno Medical Group Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Regents of University of California

  dba UCSF-Fresno Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1659419638

  O20040611000997

  Same enrollment

Part of

Regents of the University of California

Locations

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael W. Peterson, MD

  • Pulmonary Disease Physician
  • Fresno, CA
  • NPI 1437178985
  NPD Authorized official
• Loren Ingrid Alving, M.D.

  • Neurology Physician
  • Fresno, CA
  • NPI 1861423501
  NPD
• Amy M. Autry, MD

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
  • NPI 1851335624
  NPD
• Beverly Anne Chang, MD

  • Geriatric Psychiatry Physician
  • San Diego, CA
  • NPI 1063716009
  NPD
• Stephanie Lina Gaw, MD, PHD

  • Maternal & Fetal Medicine Physician
  • San Francisco, CA
  • NPI 1467789792
  NPD
• Jason Gravano, PH.D.

  • Clinical Neuropsychologist
  • Fresno, CA
  • NPI 1548749500
  NPD
• Abner Paul Korn, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • San Francisco, CA
  • NPI 1912934886
  NPD
• Liana Milanes, M.D.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1184063240

  Geriatric Medicine

  NPD
• Almira Opardija, MD

  • Infectious Disease Physician
  • Fresno, CA
  • NPI 1982901294
  NPD
• Joseph Keating Sanford

  • Neurology Physician
  • Fresno, CA
  • NPI 1932561727
  NPD
• Alexander Carlton Sherriffs Jr., M.D.

  • Family Medicine Physician
  • Fowler, CA
  • NPI 1154353050

  Geriatric Medicine

  NPD
• Herbert John Blossom, MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1538310917
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1821014374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN STE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012234",
            "telephone_number": "559-227-4810",
            "fax_number": "559-227-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN STE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012234",
            "telephone_number": "559-227-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CA SAN FRANSICO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSOCIATE DEAN",
        "authorized_official_telephone_number": "559-227-4810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M..D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY19509",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY20822",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G401330",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G75668",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9151935",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5696",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342434",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091021",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS001380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1821014374",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE OF CALIFORNIA",
            "identifier": "ZZZ52969Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Fresno Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UCSF Fresno Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Regalado
• Marianna Lorraine Regalado, LVN
• Raquel Regalado
• Regency Eye Care, Inc.
• Regents of University of California (UCSF-Fresno Medical Group)
• Melissa Reger, PHARMD
• Alexandria Nicole Regier
• Ryan Thomas Regier
• Orlando Regino
• Regional Emergency Medical Group Inc

• Neurology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.