Uc Davis Medical Group

LBN: Regents Of The University Of California
Uc Davis Medical Group is an health care organization with primary practice located at 1620 E Roseville Pkwy Ste 200 , Roseville CA 95661-3303. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Regents Of The University Of California can be contacted via phone (916) 783-7109, or through Hall, Allen D via phone (916) 734-8203.

Contact Information

Primary practice address
1620 E Roseville Pkwy Ste 200 Roseville CA 95661-3303
Phone: (916) 783-7109
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hall, Allen D
Phone: (916) 734-8203

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1144200775
LBN Legal business name Regents Of The University Of California
DBA Doing business as Uc Davis Medical Group
Authorized official Hall, Allen D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144200775 NPPES
California MEDICAID GR0063922

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