Organization
REGENTS OF THE UNIV OF CA
Active
Other names
Davis Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D KIRK MD (CMO)
(916) 734-1166
Entity
Organization
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817
(916) 734-9331
(916) 734-9661
Mailing address
4900 BROADWAY, SUITE 2600, SACRAMENTO, CA 95820
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI4127
RAILROAD MEDICARE PIN
CA
01
—
CN4400
RAILROAD MEDICARE PIN
CA
01
—
CN4844
RAILROAD MEDICARE PIN
CA
01
—
CR0028
RAILROAD MEDICARE PIN
CA
01
—
DA4168
RAILROAD MEDICARE PIN
CA
01
—
DE7275
RAILROAD MEDICARE PIN
CA
05
—
ZZZP5702Z
—
CA
Enumeration date
11/06/2006
Last updated
03/21/2014
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