NPIMap

Organization Active NPI

California Northstate University, College of Medicine

  • Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1952794992
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
41647 Issued in CA
Legal business name
CALIFORNIA NORTHSTATE UNIVERSITY, COLLEGE OF MEDICINE
Practice address
9700 W Taron Dr
Elk Grove, CA 95757-8145
Phone
(916) 686-7300
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Alvin Cheung
Title
President
Phone
(916) 686-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 41647 CA Primary

Addresses

Primary practice location

9700 W Taron Dr
Elk Grove, CA 95757-8145

Mailing address

9700 W Taron Dr
Elk Grove, CA 95757-8145
Phone (916) 686-7300

National Provider Directory

National Provider Directory

Locations

9700 W Taron Dr
Elk Grove, CA 95757
Phone (916) 686-7000

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1952794992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 W TARON DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578145",
            "telephone_number": "916-686-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 W TARON DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578145",
            "telephone_number": "916-686-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NORTHSTATE UNIVERSITY, COLLEGE OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-686-7300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "41647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.