Organization
REGENTS OF THE UNIV OF CA
Active
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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