UC DAVIS MEDICAL CENTER
NPI 1366493124
Chronic Disease Hospital - Children in Sacramento, CA

NPI Status: Active since May 15, 2006

Contact Information

2825 50TH ST
SACRAMENTO, CA
ZIP 95817
Phone: (916) 703-0413
Fax: (916) 703-0417

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  • Organization
  • Chronic Disease Hospital
  • Children
  • CLIA Number: 05D2300091
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 03-03-2026

About UC DAVIS MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Uc Davis Medical Center, a provider established in Sacramento, California operating as a Chronic Disease Hospital, focusing in children . The healthcare provider is registered in the NPI registry with number 1366493124 assigned on May 2006. The practitioner's primary taxonomy code is 281PC2000X with license number A89124 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Billur Moghaddam M.d. (Assistant Professor)

NPI
1366493124
Provider Name
UC DAVIS MEDICAL CENTER
Entity Type
Organization
Location Address
2825 50TH ST SACRAMENTO, CA 95817
Location Phone
(916) 703-0413
Location Fax
(916) 703-0417
Mailing Address
2825 50TH ST SACRAMENTO, CA 95817
Mailing Phone
(916) 703-0413
Mailing Fax
(916) 703-0417
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2006
Last Update Date
06-23-2008
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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

Chronic Disease Hospital Children

Taxonomy Code
281PC2000X
Type
Hospitals
License No.
A89124
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BILLUR MOGHADDAM M.D.

Authorized Official Title
ASSISTANT PROFESSOR
Authorized Official Phone
(916) 703-0413

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
05D2300091
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
March 04, 2024
Certificate Expiration Date
March 03, 2026
Laboratory Director
CLAYTON K. LAVALLEY
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Uc Davis Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1366493124, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 4 → 8 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 8 + 9 + 6 + 1 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1366493124.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Developmental - Behavioral Pediatrics)
2825 50TH ST
SACRAMENTO, CA 95817
Clinical Neuropsychologist
2825 50TH ST, UCDHS- MIND INSTITUTE
SACRAMENTO, CA 95817
Clinical Neuropsychologist
2825 50TH ST, UCDHS- M.I.N.D. INSTUTUTE
SACRAMENTO, CA 95817
Social Worker (Clinical)
2825 50TH ST
SACRAMENTO, CA 95817
Clinical Neuropsychologist
2825 50TH ST, UCDHS MIND INSTITUTE
SACRAMENTO, CA 95817
Psychologist
2825 50TH ST, UC DAVIS MIND INSTITUTE
SACRAMENTO, CA 95817
Pediatrics (Developmental - Behavioral Pediatrics)
2825 50TH ST, UC DAVIS DEPARTMENT OF PEDIATRICS
SACRAMENTO, CA 95817
Pediatrics (Developmental - Behavioral Pediatrics)
2825 50TH ST
SACRAMENTO, CA 95817
Pediatrics
2825 50TH ST, M.I.N.D. INSTITUTE
SACRAMENTO, CA 95817
Speech-Language Pathologist
2825 50TH ST
SACRAMENTO, CA 95817
Pediatrics (Developmental - Behavioral Pediatrics)
2825 50TH ST, UCDAVIS MIND INSTITUTE
SACRAMENTO, CA 95817
Psychologist
2825 50TH ST
SACRAMENTO, CA 95817
Clinical Neuropsychologist
2825 50TH ST, M.I.N.D. INSTITUTE
SACRAMENTO, CA 95817
Social Worker (Clinical)
2825 50TH ST
SACRAMENTO, CA 95817
Speech-Language Pathologist
2825 50TH ST
SACRAMENTO, CA 95817
Pediatrics (Neurodevelopmental Disabilities)
2825 50TH ST, PEDIATRIC NEUROLOGY MIND INSTITUTE
SACRAMENTO, CA 95817
Registered Nurse
2825 50TH ST
SACRAMENTO, CA 95817
Specialist
2825 50TH ST
SACRAMENTO, CA 95817
Psychologist (Clinical)
2825 50TH ST
SACRAMENTO, CA 95817
Psychologist (Clinical)
2825 50TH ST
SACRAMENTO, CA 95817

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366493124, enumerated as an "organization" on May 15, 2006.

The provider is located at 2825 50TH ST SACRAMENTO, CA 95817 and the phone number is (916) 703-0413.

Chronic Disease Hospital with taxonomy code 281PC2000X and a focus in Children.