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UC DAVIS MEDICAL GROUP
NPI 1912987553
Clinic/Center - Multi-Specialty in Davis, CA

Active since January 19, 2006CLIA 05D0937936 · Microscopy
2660 W COVELL BLVD, DAVIS, CA 95616(530) 747-3000 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2023, Jun 30, 2016 (2 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 1912987553) is a healthcare organization registered as a multi-specialty in Davis, California and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through December 23, 2027 and lists Allen D Hall, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912987553
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREGENTS OF THE UNIVERSITY OF CALIFORNIA
Location Address2660 W COVELL BLVDDavis, CA 95616-5645
Mailing Address10850 White Rock RdRancho Cordova, CA 95670-6044 · (916) 734-9255 · Fax (916) 451-8494
Phone(530) 747-3000
Organization SubpartNo
Authorized OfficialAllen D HallMedical Director · (916) 734-8203
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1912987553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2660 W COVELL BLVD, Davis, CA 95616
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Other Names 1

Other NameUc Davis Medical Group

Other Identifiers 1

MedicaidGR0063734CA

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) 05D0937936

Uc Davis Medical Group - Davis · Davis, CA
Active · expires Dec 23, 2027
CLIA Number05D0937936
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorJacob J. Dima
Laboratory Phone(530) 747-3000
Laboratory LocationUc Davis Medical Group - Davis2660 W Covell Blvd, Davis, CA 95616
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.

REGENTS OF THE UNIVERSITY OF CALIFORNIA
Pharmacy (Community/Retail Pharmacy)
2660 W COVELL BLVD
DAVIS, CA 95616
Yolo County (530) 747-3051
SABRINA JANE SILVA THOMPSON MD
Family Medicine
2660 W COVELL BLVD
DAVIS, CA 95616
Yolo County (530) 747-3000
RONNIE VERNON SPRINKLE M.D.
Family Medicine
2660 W COVELL BLVD, SUITE C
DAVIS, CA 95616
Yolo County (530) 747-3000
DR. RYAN SCOTT WOODMAN D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2660 W COVELL BLVD
DAVIS, CA 95616
Yolo County (530) 747-3000
JACOB JUSTIN DIMA D.O.
Family Medicine
2660 W COVELL BLVD
DAVIS, CA 95616
Yolo County (530) 747-3000
THOMAS BYRON ALAN M.D.
Internal Medicine
2660 W COVELL BLVD, SUITE A
DAVIS, CA 95616
Yolo County (530) 747-3000
KAREN LOUISE MO M.D.
Family Medicine
2660 W COVELL BLVD, SUITE B
DAVIS, CA 95616
Yolo County (530) 747-3000
DR. ANMOL CHOHAN M.D
Internal Medicine
2660 W COVELL BLVD
DAVIS, CA 95616
Yolo County (530) 747-3000

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 1912987553. It was assigned to this organization in the NPPES registry on January 19, 2006. The provider is also known as Uc Davis Medical Group.

Where is Regents Of The University Of California located?

Regents Of The University Of California is located at 2660 W Covell Blvd, Davis, CA 95616. The listed phone number is (530) 747-3000.

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 05D0937936) is associated with this NPI, valid through December 23, 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 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.