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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: August 02, 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, 2026 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
Phone(916) 783-7109
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
Open in Google Maps ↗

Other Names 1

Doing Business AsUc Davis Medical Group

Other Identifiers 1

MedicaidGR0063922CA

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, 2026
CLIA Number05D0614300
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
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.

Other Providers at the Same Location NPPES 8

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

DR. TALHA MEHMOOD M.D.
Internal Medicine (Cardiovascular Disease)
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
Placer County (917) 615-6159
DR. RUCHIKA SUNIL CHHIBAR M.D.
Internal Medicine
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
Placer County (916) 783-7109
DR. JOSEPHINE JENNIFER COFFEY SANDOVAL O.D.
Optometrist (Pediatrics)
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
Placer County (916) 771-0251
KIMBERLY THAI DO
Family Medicine
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
Placer County (916) 783-7109
MR. NESSER QUEJA RAMIREZ M.D.
Family Medicine
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
Placer County (916) 783-7109
DR. ARTHUR MASH MD
Family Medicine
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
Placer County (916) 783-7109
JOSE JOAQUIN LADO-ABEAL MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
Placer County (916) 783-7109
MRS. NISHA S NIJJAR FNP-C
Nurse Practitioner (Family)
1620 E ROSEVILLE PKWY STE 200
ROSEVILLE, CA 95661
Placer County (916) 783-7109

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.

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, 2026. 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.