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UC DAVIS MEDICAL GROUP
NPI 1255529236
Podiatrist - Primary Podiatric Medicine in Elk Grove, CA

Active since October 04, 2007CLIA 05D0915224 · Microscopy
8110 LAGUNA BLVD, ELK GROVE, CA 95758(916) 683-3955(916) 736-1419 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Uc Davis Medical Group NPPES

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

UC DAVIS MEDICAL GROUP (NPI 1255529236) is a healthcare organization registered as a primary podiatric medicine in Elk Grove, California and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through October 12, 2027 and lists Allen D Hall, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255529236
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameREGENTS OF THE UNIVERSITY OF CA.
Location Address8110 LAGUNA BLVDElk Grove, CA 95758-7904
Mailing Address4900 Broadway Ste 1200Sacramento, CA 95820-1535 · (916) 734-9255
Phone(916) 683-3955
Fax(916) 736-1419
Organization SubpartNo
Authorized OfficialAllen D HallCfo · (916) 734-9200
Enumeration DateOctober 4, 2007
Last NPPES UpdateFebruary 7, 2022
NPPES CertifiedFebruary 7, 2022
✔ NPI 1255529236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in CA · E4735
8110 LAGUNA BLVD, Elk Grove, CA 95758
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Other Names 1

Other NameUc Davis Medical Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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) 05D0915224

Uc Davis Medical Group · Elk Grove, CA
Active · expires Oct 12, 2027
CLIA Number05D0915224
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorSarah L. Louie
Laboratory Phone(916) 683-3955
Laboratory LocationUc Davis Medical Group8110 Laguna Blvd, Elk Grove, CA 95758
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 20

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

DR. RADHIKA NANDUR BUKKAPATNAM M.D.
Internal Medicine (Cardiovascular Disease)
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3950
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Clinic/Center (Multi-Specialty)
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3950
DR. SHAINA KAYE MD
Pediatrics
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
MS. JILL ROBIN SABERMAN RN, MSN, WHNP-BC
Nurse Practitioner (Women's Health)
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
VINH LUU M.D.
Internal Medicine
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
CHRISTOPHER RYAN YOUNG M.D.
Family Medicine
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
JEFFREY THOMAS HAGINO DO
Internal Medicine
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955
JOHN GREGORY BIAS M.D.
Family Medicine
8110 LAGUNA BLVD
ELK GROVE, CA 95758
Sacramento County (916) 683-3955

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 1255529236. It was assigned to this organization in the NPPES registry on October 4, 2007. The provider is also known as Uc Davis Medical Group.

Where is Regents Of The University Of Ca. located?

Regents Of The University Of Ca. is located at 8110 Laguna Blvd, Elk Grove, CA 95758. The listed phone number is (916) 683-3955.

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

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Does Regents Of The University Of Ca. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0915224) is associated with this NPI, valid through October 12, 2027. 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 Ca. was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.