UC DAVIS MEDICAL GROUP
NPI 1144200775
Clinic/Center - Multi-Specialty in Roseville, CA
NPI Status: Active since January 19, 2006
Contact Information
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA
ZIP 95661
Phone: (916) 783-7109
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D0614300
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About UC DAVIS MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Uc Davis Medical Group, a provider established in Roseville, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1144200775 assigned on January 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Uc Davis Medical Group. The authorized official of this NPI record is Allen D Hall (Medical Director)
- NPI
- 1144200775
- Provider Legal Name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Other Organization Name
- UC DAVIS MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661
- Location Phone
- (916) 783-7109
- Mailing Address
- 10850 WHITE ROCK RD RANCHO CORDOVA, CA 95670
- Mailing Phone
- (916) 734-9255
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2006
- Last Update Date
- 10-09-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0063922 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0614300
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DAVID MACH DO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Uc Davis Medical Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for UC DAVIS MEDICAL GROUP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 2 | 0 | 0 | 7 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 4 | 0 | 0 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 4 + 0 + 0 + 7 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1144200775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316259609 | DR. JOSEPHINE JENNIFER COFFEY SANDOVAL O.D. Individual | Optometrist (Pediatrics) | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (916) 771-0251 |
| 1669835930 | DR. ARTHUR MASH MD Individual | Family Medicine | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (916) 783-7109 |
| 1699910562 | JOSE JOAQUIN LADO-ABEAL MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (916) 783-7109 |
| 1003376153 | DR. RACHEL ELIZABETH WEMHOFF MD Individual | Obstetrics & Gynecology | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (169) 783-7109 |
| 1730243676 | DR. JENNY RAPHAEL MD Individual | Pediatrics | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (916) 783-7109 |
| 1871041970 | MRS. NISHA S NIJJAR FNP-C Individual | Nurse Practitioner (Family) | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (916) 783-7109 |
| 1588894331 | MR. NESSER QUEJA RAMIREZ M.D. Individual | Family Medicine | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (916) 783-7109 |
| 1043607104 | DR. TALHA MEHMOOD M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (917) 615-6159 |
| 1083943732 | DR. RUCHIKA SUNIL CHHIBAR M.D. Individual | Internal Medicine | 1620 E ROSEVILLE PKWY STE 200 ROSEVILLE, CA 95661 (916) 783-7109 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144200775, enumerated in the NPI registry as an "organization" on January 19, 2006
The provider is located at 1620 E Roseville Pkwy Ste 200 Roseville, Ca 95661 and the phone number is (916) 783-7109
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D0614300 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on January 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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