1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Pediatrics
  6. NPI Profile

REGENTS OF THE UNIVERSITY OF CA
NPI 1104815067
Pediatrics - Pediatric Critical Care Medicine in Sacramento, CA

Active since October 13, 2005
2521 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-3179(916) 456-2236 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2025, Aug 9, 2023 (2 updates tracked since 2023).

About Regents Of The University Of Ca NPPES

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

REGENTS OF THE UNIVERSITY OF CA (NPI 1104815067) is a healthcare organization registered as a pediatric critical care medicine in Sacramento, California and active in the NPI registry since October 2005. The organization lists Tammy Trovatten, Vice President, Gov't Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1104815067
Entity TypeOrganization
Primary Taxonomy2080P0203X
Legal Business NameREGENTS OF THE UNIVERSITY OF CA
Location Address2521 STOCKTON BLVDSacramento, CA 95817-2207
Mailing Address10850 White Rock RdRancho Cordova, CA 95670-6044 · (916) 734-9200 · Fax (916) 734-9661
Phone(916) 734-3179
Fax(916) 456-2236
Organization SubpartNo
Authorized OfficialTammy TrovattenVice President, Gov't Reimbursement · (916) 855-2315
Enumeration DateOctober 13, 2005
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1104815067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2521 STOCKTON BLVD, Sacramento, CA 95817
Open in Google Maps ↗

Other Names 1

Other NameRegents Ucdpbg Ped

Other Identifiers 5

OtherCR0028CA · Railroad Medicare Pin
OtherZZZP5701ZCA · Medicaid/chdp Pin
MedicaidGNP000070CA
MedicaidGRW02104JCA
OtherCI4127CA · Railroad Medicare Pin

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 20

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

DR. REBECCA ANNE STARK MD
Surgery (Pediatric Surgery)
2521 STOCKTON BLVD, UCDMC GLASSROCK PEDS. SURGERY - SUITE 3200
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
DR. ANGEL ALBERTO HERRERA GUERRA MD
Pediatrics (Pediatric Rheumatology)
2521 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2105
MS. SULTANNA B. IDEN RN
Registered Nurse (Pediatrics)
2521 STOCKTON BLVD, PEDIATRICS
SACRAMENTO, CA 95817
Sacramento County (916) 734-0494
MISS MARY LOUISE HUNTER R.D.A.
Dental Assistant
2521 STOCKTON BLVD, ROOM 5200
SACRAMENTO, CA 95817
Sacramento County (916) 734-5408
DR. RODNEY C. DIAZ M.D.
Otolaryngology
2521 STOCKTON BLVD, SUITE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-3744
DEBORAH HELEN AMOTT M.D
Otolaryngology
2521 STOCKTON BLVD, SUITE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-2801
DR. CRAIG WILLIAM SENDERS MD
Otolaryngology
2521 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2801
DR. JONATHAN MARK DUCORE MD, MPH
Pediatrics (Pediatric Hematology-Oncology)
2521 STOCKTON BLVD, PEDS HEM/ONC CLINIC, 3RD FLOOR
SACRAMENTO, CA 95817
Sacramento County (916) 734-2781

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 Ca's NPI number?

The NPI number for Regents Of The University Of Ca is 1104815067. It was assigned to this organization in the NPPES registry on October 13, 2005. The provider is also known as Regents UCDPBG PED.

Where is Regents Of The University Of Ca located?

Regents Of The University Of Ca is located at 2521 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-3179.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Regents Of The University Of Ca was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.