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REGENTS OF THE UNIVERSITY OF CALIFORNIA
NPI 1013560960
Clinic/Center - Rehabilitation in San Rafael, CA

Active since July 19, 2019
4000 CIVIC CENTER DR STE 206, SAN RAFAEL, CA 94903(415) 353-7598 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regents Of The University Of California NPPES

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

REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI 1013560960) is a healthcare organization registered as a rehabilitation in San Rafael, California and active in the NPI registry since July 2019. The organization lists Kosal Bo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013560960
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameREGENTS OF THE UNIVERSITY OF CALIFORNIA
Location Address4000 CIVIC CENTER DR STE 206San Rafael, CA 94903-5233
Mailing Address4000 Civic Center Dr Ste 206San Rafael, CA 94903-5233
Phone(415) 353-7598
Organization SubpartYes
Authorized OfficialKosal BoExecutive Director · (415) 353-7235
Enumeration DateJuly 19, 2019
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1013560960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedOccupational Therapist · Physical RehabilitationTaxonomy 225XP0019X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
4000 CIVIC CENTER DR STE 206, San Rafael, CA 94903
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JENNIFER GRAYZAR M.D.
Emergency Medicine
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8865
ARMANDO GARCIA-MENDOZA MD
Pediatrics
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8070
DR. JOHN L CLOTHIER M.D.
Family Medicine
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8865
JOHN CRAIG ELLIOTT M.D.
Pediatrics
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8070
CHERYSH KEMP GUNKLE FNP
Nurse Practitioner (Family)
4000 CIVIC CENTER DR STE 206
SAN RAFAEL, CA 94903
Marin County (415) 925-8895

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 1013560960. It was assigned to this organization in the NPPES registry on July 19, 2019.

Where is Regents Of The University Of California located?

Regents Of The University Of California is located at 4000 Civic Center Dr Ste 206, San Rafael, CA 94903. The listed phone number is (415) 353-7598.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Regents Of The University Of California was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.