Active NPI
UC Davis
- Children's Chronic Disease Hospital
- Sacramento, CA
National Provider Identifier
1902881162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Chronic Disease Hospital
- License
- G57949
- Legal business name
- UC DAVIS
- Practice address
- 4150 V St
2100
Sacramento, CA 95817-1460 - Phone
- (916) 734-8583
- NPI assigned
- Dec 9, 2005
- 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
- Dr. Sharon Wilson
- Title
- Assistant Professor
- Phone
- (916) 734-8583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Chronic Disease Hospital | 281PC2000X | G57949 | CA | Primary |
Addresses
Primary practice location
4150 V St
2100
Sacramento, CA 95817-1460
Mailing address
4150 V St
2100
Sacramento, CA 95817-1460
Phone (916) 734-8583
National Provider Directory
National Provider DirectoryLocations
4150 V St
#2100
Sacramento, CA 95817
Phone (916) 734-5010
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": "1598054400000",
"number": "1902881162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 V ST",
"address_2": "2100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-8583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 V ST",
"address_2": "2100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-8583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UC DAVIS",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "ASSISTANT PROFESSOR",
"authorized_official_telephone_number": "916-734-8583",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "281PC2000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital, Children",
"state": "CA",
"license": "G57949",
"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.