UC DAVIS MEDICAL GROUP
NPI 1255529236
Podiatrist - Primary Podiatric Medicine in Elk Grove, CA
NPI Status: Active since October 04, 2007
Contact Information
8110 LAGUNA BLVD
ELK GROVE, CA
ZIP 95758
Phone: (916) 683-3955
Fax: (916) 736-1419
- Organization
- Podiatrist
- Primary Podiatric Medicine
- CLIA Number: 05D0915224
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-12-2027
About UC DAVIS MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Uc Davis Medical Group, a provider established in Elk Grove, California operating as a Podiatrist, focusing in primary podiatric medicine . The healthcare provider is registered in the NPI registry with number 1255529236 assigned on October 2007. The practitioner's primary taxonomy code is 213EP1101X with license number E4735 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Uc Davis Medical Group. The authorized official of this NPI record is Allen D Hall M.d. (Cfo)
- NPI
- 1255529236
- Provider Legal Name
- REGENTS OF THE UNIVERSITY OF CA.
- Other Organization Name
- UC DAVIS MEDICAL GROUP
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 8110 LAGUNA BLVD ELK GROVE, CA 95758
- Location Phone
- (916) 683-3955
- Location Fax
- (916) 736-1419
- Mailing Address
- 4900 BROADWAY STE 1200 SACRAMENTO, CA 95820
- Mailing Phone
- (916) 734-9255
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2007
- Last Update Date
- 02-07-2022
- Code Navigator
A podiatrist like Uc Davis Medical Group provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Primary Podiatric Medicine
- Taxonomy Code
- 213EP1101X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- E4735
- License State
- CA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0915224
- Facility Type
- Physician Office
- Certificate Effective Date
- October 13, 2025
- Certificate Expiration Date
- October 12, 2027
- Laboratory Director
- SARAH L. LOUIE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Uc Davis Medical Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255529236, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ELK GROVE, CA 95758
ELK GROVE, CA 95758
ELK GROVE, CA 95758
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255529236, enumerated as an "organization" on October 04, 2007.
The provider is located at 8110 LAGUNA BLVD ELK GROVE, CA 95758 and the phone number is (916) 683-3955.
Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.
