UC DAVIS MEDICAL GROUP
NPI 1144200775
Clinic/Center - Multi-Specialty in Roseville, CA

Active since January 19, 2006CLIA 05D0614300 · Microscopy
1620 E ROSEVILLE PKWY STE 200, ROSEVILLE, CA 95661(916) 783-7109 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2023, Feb 4, 2021, Aug 31, 2016 (3 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 1144200775) is a healthcare organization registered as a multi-specialty in Roseville, California and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Allen D Hall, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1144200775
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREGENTS OF THE UNIVERSITY OF CALIFORNIA
Location Address1620 E ROSEVILLE PKWY STE 200Roseville, CA 95661-3303
Mailing Address10850 White Rock RdRancho Cordova, CA 95670-6044 · (916) 734-9255 · Fax (916) 451-8494
Organization SubpartNo
Authorized OfficialAllen D HallMedical Director · (916) 734-8203
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 9, 20233 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1144200775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1620 E ROSEVILLE PKWY STE 200, Roseville, CA 95661

Other Names 1

Doing Business AsUc Davis Medical Group

Other Identifiers 1

MedicaidGR0063922CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uc Davis Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

914

Medicare enrollment records show 914 clinicians reassign Medicare billing to Uc Davis Medical Group, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 77 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 58

Family Practice112
Emergency Medicine91
Internal Medicine88
Nurse Practitioner65
Psychiatry47
Obstetrics/Gynecology41
Pediatric Medicine38
Clinical Psychologist33
50 other specialties399

Nearest to this location (20)

See all 914
Internal Medicine
NPI 1083943732
1620 E ROSEVILLE PKWY STE 200
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1699910562
1620 E ROSEVILLE PKWY STE 200
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1912999558
1620 E ROSEVILLE PARKWAY SUITE 200
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1043607104
1620 E ROSEVILLE PKWY STE 200
Roseville, CA 95661
(917) 615-6159
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1235368184
1620 E ROSEVILLE PKWY
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871041970
1620 E ROSEVILLE PKWY STE 200
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588894331
1620 E ROSEVILLE PKWY STE 200
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1952041410
1620 E ROSEVILLE PKWY
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588307060
1620 E ROSEVILLE PKWY STE 200
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1285023341
1620 LEAD HILL BLVD
Roseville, CA 95661
(916) 789-1111
✔ Accepts Medicare0.2 mi
Family Practice
NPI 1720080815
2261 DOUGLAS BLVD
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1023551751
2261 DOUGLAS BLVD
Roseville, CA 95661
(916) 783-7109
✔ PECOS0.3 mi
Family Practice
NPI 1700240587
2261 DOUGLAS BLVD
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1821071143
2261 DOUGLAS BLVD
Roseville, CA 95661
(916) 783-7109
✔ PECOS0.3 mi
Obstetrics/Gynecology
NPI 1811901176
2261 DOUGLAS BLVD
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1245215839
2261 DOUGLAS BLVD
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1902210156
2550 DOUGLAS BLVD SUITE 100
Roseville, CA 95661
(916) 983-5915
✔ Accepts Medicare0.4 mi
Urology
NPI 1053499731
1600 EUREKA RD
Roseville, CA 95661
(916) 784-4000
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1851687727
1 MEDICAL PLAZA
Roseville, CA 95661
(916) 781-1927
✔ PECOS0.9 mi
Anesthesiology
NPI 1720245830
2 MEDICAL PLAZA DR STE 205
Roseville, CA 95661
(916) 773-8711
✔ PECOS✔ Accepts Medicare0.9 mi
See all 914 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 05D0614300

Uc Davis Medical Group-Roseville Clinic · Roseville, CA
Active · expires Aug 31, 2028
CLIA Number05D0614300
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDavid Mach Do
Laboratory Phone(916) 783-7109
Laboratory LocationUc Davis Medical Group-Roseville Clinic1620 East Roseville Parkway, Suite 200, Roseville, CA 95661
CLIA data matches this NPI record on: Address Name Phone
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.

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 1144200775. 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 1620 E Roseville Pkwy Ste 200, Roseville, CA 95661. The listed phone number is (916) 783-7109.

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.

Is Regents Of The University Of California enrolled in Medicare?

Yes. Regents Of The University Of California is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regents Of The University Of California?

According to the CMS Revalidation Reassignment List (October 2026 release), 914 clinicians in 58 Medicare specialties reassign their Medicare billing to Regents Of The University Of California. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (112), Emergency Medicine (91) and Internal Medicine (88). Of these, 9 practice at this address and 77 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0614300) is associated with this NPI, valid through August 31, 2028. 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 3 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.