MEDICARE: UC DAVIS HEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1235369273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UC DAVIS HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	4539 V ST APT D
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-1535
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4539 V ST APT D
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-1535
Country	:	US
Telephone Number	:	310-986-0555
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL STUDENT 3
Name	:	TOVA SOOFER
Credential	:
Telephone Number	:	310-986-0555

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	07/24/2009

Similar Medicare Providers

1104053834 — AMELIA ANN SORENSEN M.D.
Practice Location Address:

1535 RIVER PARK DR
SACRAMENTO, CA
95815-4601

Practice Phone: 916-286-1080
Practice Fax:

1669456174 — DR. TOBIAS ANTHONY PAIVA DO
Practice Location Address:

1535 RIVER PARK DR STE 2000
SACRAMENTO, CA
95815-4601

Practice Phone: 916-286-1080
Practice Fax:

1235196767 — KIMBERLY J SAUNDERS PT
Practice Location Address:

1535 RIVER PARK DR STE 1000
SACRAMENTO, CA
95815-4601

Practice Phone: 916-734-6700
Practice Fax:

1184842007 — DR. ANGELA WING-CHEE LIM D.O.
Practice Location Address:

1535 RIVER PARK DR STE 2000
SACRAMENTO, CA
95815-4601

Practice Phone: 916-286-1010
Practice Fax:

1881884682 — DR. MARIA ANNA C LAZO PSYD
Practice Location Address:

1535 RIVER PARK DR STE 2000
SACRAMENTO, CA
95815-4601

Practice Phone: 916-286-1010
Practice Fax:

1336458132 — DR. EKATERINA MAHINDA PSY.D.
Practice Location Address:

1535 RIVER PARK DR STE 1000
SACRAMENTO, CA
95815-4601

Practice Phone: 916-734-6700
Practice Fax:

Directions to “UC DAVIS HEALTH SYSTEM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.