Organization · Type 2 NPI

Regents of the University of Ca

Pediatric Critical Care Medicine Physician · Sacramento, CA

NPI number 1104815067 Active

Practice location

2521 Stockton Blvd
Sacramento, CA 95817-2207

Call (916) 734-3179 Map

Fax (916) 456-2236

Mailing address

10850 White Rock Rd
Rancho Cordova, CA 95670-6044

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203XNone listed

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

127 other providers at this address

About NPI 1104815067

Regents of the University of Ca's National Provider Identifier is 1104815067, issued on Oct 13, 2005. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Sacramento, CA. The record was last updated on May 16, 2025.