| Regents Ucdpbg Im Hosp | |
|
2315 Stockton Blvd Sacramento CA 95817-2201 | |
| (916) 734-2011 | |
| (916) 734-7584 |
| Full Name | Regents Ucdpbg Im Hosp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2315 Stockton Blvd, Sacramento, California |
| Authorized Official Name and Position | Tammy Trovatten (VICE PRESIDENT, GOV'T REIMBURSEMENT) |
| Authorized Official Contact | 9168552315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regents Ucdpbg Im Hosp 10850 White Rock Rd Rancho Cordova CA 95670-6044 Ph: (916) 734-9200 | Regents Ucdpbg Im Hosp 2315 Stockton Blvd Sacramento CA 95817-2201 Ph: (916) 734-2011 |
| NPI Number | 1255324323 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255324323 | NPI | - | NPPES |
| CN4844 | Other | CA | RAILROAD MEDICARE PIN |
| CR0028 | Other | CA | RAILROAD MEDICARE PIN |
| DA4168 | Other | CA | RAILROAD MEDICARE PIN |
| CI4127 | Other | CA | RAILROAD MEDICARE PIN |
| CN4400 | Other | CA | RAILROAD MEDICARE PIN |
| GNP000070 | Medicaid | CA | |
| DE7275 | Other | CA | RAILROAD MEDICARE PIN |
| GRW02104L | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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