# REGENTS OF THE UNIVERSITY OF CA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regents/UCDPBG/IM Hemato
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629061643
- **Authorized official:** TAMMY TROVATTEN (VICE PRESIDENT, GOV'T REIMBURSEMENT)
- **Authorized official phone:** (916) 855-2315

## Contact information

- **Practice address:** 4501 X ST, SACRAMENTO, CA 95817-2229
- **Practice address phone:** (916) 724-5803
- **Practice address fax:** (916) 734-7946
- **Mailing address:** 10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
- **Mailing address phone:** (916) 734-9200
- **Mailing address fax:** (916) 734-9661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 05/16/2025
