Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
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
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-9200
(916) 734-9661
Mailing address
10850 WHITE ROCK RD, RANCHO CORDOVA, CA 95670-6044
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
030000086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00599W
—
CA
05
—
HSP40599G
—
CA
01
—
ZZR00599W
DEPT OF HEALTH SVCS
CA
05
—
ZZR00599W
—
CA
01
—
ZZZA3407Z
BLUE SHIELD
—
Enumeration date
07/17/2006
Last updated
05/16/2025
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