Regents UCDPBG Radiology – Diagnostic Radiology Physician, NPI 1477546406
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Regents UCDPBG Radiology
University of California, Davis Medical Center, 2315, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States
SACRAMENTO, CA 958172201
Phone: (916) 703-2261
Fax: (916) 703-2258
Type: Location
4900, Broadway, Sacramento, Sacramento County, California, 95820, United States
SUITE 2600
SACRAMENTO, CA 958201532
Phone: (916) 734-9200
Fax: (916) 734-9336
Type: Mailing
10850 WHITE ROCK RD
RANCHO CORDOVA, CA 956706044
Phone: (916) 734-9200
Fax: (916) 734-9336
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 22 Medicare enrollment records; no due dates published yet.
Enrollment records
22
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220708001223 | O | Clinic/Group Practice | FL | TBD |
| O20220714003917 | O | Clinic/Group Practice | DC | TBD |
| O20220822003679 | O | Clinic/Group Practice | WA | TBD |
| O20220823003966 | O | Clinic/Group Practice | OR | TBD |
| O20220826002290 | O | Clinic/Group Practice | TX | TBD |
| O20220831002355 | O | Clinic/Group Practice | CO | TBD |
| O20220901002412 | O | Clinic/Group Practice | MD | TBD |
| O20220902002496 | O | Clinic/Group Practice | AZ | TBD |
| O20220912003630 | O | Clinic/Group Practice | KY | TBD |
| O20220915001074 | O | Clinic/Group Practice | MO | TBD |
| O20220928002423 | O | Clinic/Group Practice | GA | TBD |
| O20220930000491 | O | Clinic/Group Practice | TN | TBD |
| O20221012001769 | O | Clinic/Group Practice | MA | TBD |
| O20221013001417 | O | Clinic/Group Practice | NY | TBD |
| O20230612002957 | O | Clinic/Group Practice | MN | TBD |
| O20240205001978 | O | Clinic/Group Practice | OH | TBD |
| O20240221000328 | O | Clinic/Group Practice | PA | TBD |
| O20240408000606 | O | Clinic/Group Practice | NC | TBD |
| O20240408001317 | O | Clinic/Group Practice | VA | TBD |
| O20240920000163 | O | Clinic/Group Practice | IA | TBD |
| O20250521000909 | O | Clinic/Group Practice | OK | TBD |
| O20250908000420 | O | Clinic/Group Practice | VT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95817)
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