Organization
REGENTS OF THE UNIVERSITY OF CA
Active
Other names
Regents UCDPBG Ped Hemoc
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY TROVATTEN (VICE PRESIDENT, GOV'T REIMBURSEMENT)
(916) 855-2315
Entity
Organization
Contact information
Practice address
2521 STOCKTON BLVD, SACRAMENTO, CA 95817-2207
(916) 734-3179
(916) 456-2236
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GNP000070
—
CA
05
—
GRW021040
—
CA
01
—
ZZZP5701Z
MEDICAID/CHDP PIN
CA
Enumeration date
08/24/2005
Last updated
05/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us