Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
University of California Davis Medical Center
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
282N00000X
General Acute Care Hospital
Primary
030000086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00599W
—
CA
05
—
HSD00599G
—
CA
05
—
HSP40599W
—
CA
05
—
HSX00599G
—
CA
01
—
ZZR00599W
DEPT OF HEALTH SVCS
CA
01
—
ZZZA3407Z
BLUE SHIELD
—
Enumeration date
07/06/2006
Last updated
11/20/2025
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