Organization · Type 2 NPI

Regents of the Univ of Ca

Otolaryngology Physician · Sacramento, CA

NPI number 1750374872 Active

Practice location

2521 Stockton Blvd
Sacramento, CA 95817-2207

Call (916) 734-2801 Map

Fax (916) 456-7509

Mailing address

10850 White Rock Rd
Rancho Cordova, CA 95670-6044

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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NPI record

NPI: 1750374872
Entity type: Organization (Type 2)
Issued: Aug 24, 2005
Last updated: May 16, 2025
Status: Active

Other names

<unavail>
Regents/ucdpbg/otolaryng · other name
Regents/ucdpbg/otolaryng · other name

Authorized official

Tammy Trovatten
Vice President, Gov't Reimbursement
(916) 855-2315

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750374872

Regents of the Univ of Ca's National Provider Identifier is 1750374872, issued on Aug 24, 2005. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Sacramento, CA. The record was last updated on May 16, 2025.