NPIMap

Organization Active NPI

Regents of the University of California

Doing business as UC Davis Medical Group

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
National Provider Identifier
1952998973
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
UC Davis Medical Group
Practice address
1535 River Park Dr Ste 2000
Sacramento, CA 95815-4601
Phone
(916) 734-9200
NPI assigned
Dec 23, 2020
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Allen D HallNPI 1760466924
Title
Medical Director
Phone
(916) 734-8203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1535 River Park Dr Ste 2000
Sacramento, CA 95815-4601

Mailing address

10850 White Rock Rd
Rancho Cordova, CA 95670-6044
Phone (916) 734-9255

Other practice location 1

1535 River Park Dr Ste 1000
Sacramento, CA 95815-4601
Phone (916) 734-9200

Other names 1

  • UC Davis Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118001149 CA Part B Supplier - Clinic/Group Practice 8022922475 Receives reassigned benefits from 924 practitioners
24 other NPIs on this enrollment
Practice locations: Sacramento, CA; Stockton, CA; Walnut Creek, CA; Roseville, CA; Auburn, CA; Chico, CA; Citrus Heights, CA; Davis, CA…

Other NPIs on the same Medicare enrollment 24

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

View all 24

National Provider Directory

National Provider Directory

Locations

7551 Madison Ave
Citrus Hts, CA 95610
Phone (916) 904-3000

2035 Lyndell Ter
Ste 100
Davis, CA 95616
Phone (530) 668-6000

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

14264 Innovation Dr
Folsom, CA 95630
Phone (916) 946-9300

10044 Wolf Rd
Ste A
Grass Valley, CA 95949
Phone (530) 268-7708

10850 White Rock Rd
#2349
Rancho Cordova, CA 95670

11000 Olson Dr
Ste 100
Rncho Cordova, CA 95670
Phone (916) 635-4120

2000 Stockton Blvd
Ste 2300
Sacramento, CA 95817
Phone (916) 734-3574

2521 Stockton Blvd
Ste 400
Sacramento, CA 95817

2521 Stockton Blvd
Ste 5200
Sacramento, CA 95817
Phone (916) 734-2801

2825 J St
Ste 300
Sacramento, CA 95816
Phone (916) 734-2890

3160 Folsom Blvd
Ste 1400
Sacramento, CA 95816
Phone (916) 731-1831

3160 Folsom Blvd
Ste 2500
Sacramento, CA 95816
Phone (916) 734-5846

4611 Broadway
Sacramento, CA 95820
Phone (916) 703-9219

4860 Y St
Ste 100200
Sacramento, CA 95817

4860 Y St
Ste 3010A
Sacramento, CA 95817
Phone (916) 734-0718

4860 Y St
Ste 3030C
Sacramento, CA 95817
Phone (916) 734-3761

6151 H St
Sacramento, CA 95819
Phone (916) 734-9255

5757 Pacific Ave
Ste A132
Stockton, CA 95207
Phone (209) 616-6651

100 N Wiget Ln
Ste 150
Walnut Creek, CA 94598
Phone (855) 420-2612

Practitioners & affiliated clinicians

Practitioners 1,248

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.

View all 1,248

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1952998973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 WHITE ROCK RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706044",
            "telephone_number": "916-734-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 RIVER PARK DR STE 2000",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154601",
            "telephone_number": "916-734-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 River Park Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154601",
            "country_code": "US",
            "telephone_number": "916-734-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-734-8203"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC Davis Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UC Davis Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2023; 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.