# UC DAVIS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205826351
- **Authorized official:** DR. TASSANEE - VISIS M.D. (RADIOLOGIST)
- **Authorized official phone:** (916) 734-5704

## Contact information

- **Practice address:** 4860 Y ST, SUITE 3100, SACRAMENTO, CA 95817-2307
- **Practice address phone:** (916) 734-5704
- **Practice address fax:** (916) 734-8490
- **Mailing address:** 1114 HARVARD DR, DAVIS, CA 95616-1709
- **Mailing address phone:** (530) 759-8671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 57022 | MA | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 09/06/2023