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UNIVERSITY OF CALIFORNIA, DAVIS
NPI 1053620161
Chronic Disease Hospital in Sacramento, CA

Active since October 07, 2010CLIA Certified · 4 labs
2360 STOCKTON BLVD STE 1100, SACRAMENTO, CA 95817(916) 734-3461(916) 734-3591 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Of California, Davis NPPES

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

UNIVERSITY OF CALIFORNIA, DAVIS (NPI 1053620161) is a healthcare organization registered as a chronic disease hospital in Sacramento, California and active in the NPI registry since October 2010. The organization holds 4 active CLIA laboratory certificates and lists Jerry Powell, Hemotology Oncology, as its authorized official.

NPPES Registry Identity

NPI1053620161
Entity TypeOrganization
Primary Taxonomy281P00000X
Legal Business NameUNIVERSITY OF CALIFORNIA, DAVIS
Location Address2360 STOCKTON BLVD STE 1100Sacramento, CA 95817-2283
Mailing Address2360 Stockton Blvd Ste 1100Sacramento, CA 95817-2283 · (916) 734-3461 · Fax (916) 734-3591
Phone(916) 734-3461
Fax(916) 734-3591
Organization SubpartNo
Authorized OfficialJerry PowellHemotology Oncology · (916) 734-8616
Enumeration DateOctober 7, 2010
✔ NPI 1053620161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChronic Disease HospitalHospitals
Taxonomy Code281P00000X
License✔ Licensed in CA · 24419
Definition
(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
2360 STOCKTON BLVD STE 1100, Sacramento, CA 95817
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CLIA Laboratory Certificates CMS CLIA 4

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 of Waiver 05D1019531

University Of California Davis Medical Center Internal Med Research Group · Sacramento, CA
Active · expires Jun 25, 2028
CLIA Number05D1019531
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorChristopher Bowlus
Laboratory Phone(916) 734-8696
Laboratory LocationUniversity Of California Davis Medical Center Internal Med Research Group2000 Stockton Blvd Ste 100 B Ticon 1 Bldg, Sacramento, CA 95817
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 05D2324752

University Of California Davis Medical Center - 48X Pathology · Sacramento, CA
Active · expires May 29, 2027
CLIA Number05D2324752
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorDr. Dorina Gui
Laboratory Phone(916) 731-3838
Laboratory LocationUniversity Of California Davis Medical Center - 48X Pathology4868 X St, 2nd Fl, Sacramento, CA 95817
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 05D2324663

University Of California Davis Medical Center - 48X Poct · Sacramento, CA
Active · expires May 28, 2027
CLIA Number05D2324663
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorZarir E. Karanjawala
Laboratory Phone(916) 731-3838
Laboratory LocationUniversity Of California Davis Medical Center - 48X Poct4868 X St, Sacramento, CA 95817
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 05D0615654

University Of California Davis Medical Center-Pulmonary Services · Sacramento, CA
Active · expires Feb 27, 2027
CLIA Number05D0615654
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Bradley Sanville
Laboratory Phone(916) 703-3200
Laboratory LocationUniversity Of California Davis Medical Center-Pulmonary Services2315 Stockton Boulevard, Sacramento, CA 95817
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

UC DAVIS HEMOPHILIA PROGRAM
Internal Medicine (Hematology & Oncology)
2360 STOCKTON BLVD STE 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-3461

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 University Of California, Davis's NPI number?

The NPI number for University Of California, Davis is 1053620161. It was assigned to this organization in the NPPES registry on October 7, 2010.

Where is University Of California, Davis located?

University Of California, Davis is located at 2360 Stockton Blvd Ste 1100, Sacramento, CA 95817. The listed phone number is (916) 734-3461.

What is University Of California, Davis's specialty?

The primary specialty registered for this NPI is Chronic Disease Hospital with taxonomy code 281P00000X.

Does University Of California, Davis hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for University Of California, Davis was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.