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UC DAVIS MEDICAL GROUP
NPI 1003896648
Clinic/Center - Multi-Specialty in Folsom, CA

Active since January 19, 2006CLIA 05D2327479 · Microscopy
271 TURN PIKE DR, FOLSOM, CA 95630(916) 985-9350 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2023, Aug 31, 2016 (2 updates tracked since 2016).

About Uc Davis Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UC DAVIS MEDICAL GROUP (NPI 1003896648) is a healthcare organization registered as a multi-specialty in Folsom, California and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through July 22, 2027 and lists Allen D Hall, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003896648
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREGENTS OF THE UNIVERSITY OF CALIFORNIA
Location Address271 TURN PIKE DRFolsom, CA 95630-8098
Mailing Address10850 White Rock RdRancho Cordova, CA 95670-6044 · (916) 734-9255 · Fax (916) 451-8494
Phone(916) 985-9350
Organization SubpartNo
Authorized OfficialAllen D HallMedical Director · (916) 734-8203
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1003896648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
271 TURN PIKE DR, Folsom, CA 95630
Open in Google Maps ↗

Other Names 1

Doing Business AsUc Davis Medical Group

Other Identifiers 1

MedicaidGR0081522CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2327479

Uc Davis Medical Group-Folsom Medical Care Clinic · Folsom, CA
Active · expires Jul 22, 2027
CLIA Number05D2327479
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorVictor Baquero
Laboratory Phone(916) 946-1700
Laboratory LocationUc Davis Medical Group-Folsom Medical Care Clinic14264 Innovation Drive, Folsom, CA 95630
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UC DAVIS
Nurse Practitioner (Obstetrics & Gynecology)
271 TURN PIKE DR
FOLSOM, CA 95630
Sacramento County (916) 985-9375
DR. SOE SOE MAW MD
Internal Medicine
271 TURN PIKE DR
FOLSOM, CA 95630
Sacramento County (916) 985-9300
MARTINA RANDOLPH MD
Family Medicine
271 TURN PIKE DR
FOLSOM, CA 95630
Sacramento County (916) 985-9300
DON H. NGUYEN D.O.
Internal Medicine
271 TURN PIKE DR
FOLSOM, CA 95630
Sacramento County (916) 985-9300
DR. JAMES ANTHONY KILEY JR. M.D.
Internal Medicine
271 TURN PIKE DR
FOLSOM, CA 95630
Sacramento County (916) 985-9300
DR. KATHLEDA TANGONAN MD
Family Medicine
271 TURN PIKE DR
FOLSOM, CA 95630
Sacramento County (916) 985-9300
DR. KIMBERLY DAVIS WILLIAMS D.O.
Internal Medicine
271 TURN PIKE DR
FOLSOM, CA 95630
Sacramento County (916) 985-9300
DIVYA CHHABRA M.B.B.S,MMSC
Pediatrics (Pediatric Pulmonology)
271 TURN PIKE DR
FOLSOM, CA 95630
Sacramento County (978) 875-4262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regents Of The University Of California's NPI number?

The NPI number for Regents Of The University Of California is 1003896648. It was assigned to this organization in the NPPES registry on January 19, 2006. The provider is doing business as Uc Davis Medical Group.

Where is Regents Of The University Of California located?

Regents Of The University Of California is located at 271 Turn Pike Dr, Folsom, CA 95630. The listed phone number is (916) 985-9350.

What is Regents Of The University Of California's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Regents Of The University Of California hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2327479) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regents Of The University Of California was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.