Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regents of the University of California

Organization Physical Therapist · NPI 1013560960

Regents of the University of California is a Physical Therapist in San Rafael, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
7

Practice location Address checks out

4000 Civic Center Dr Ste 206
San Rafael, CA 94903-5233
Phone: (415) 353-7598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X
Speech-Language Pathologist Taxonomy 235Z00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1013560960
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRegents of the University of California
Authorized official Kosal Bo — Executive Director · (415) 353-7235
NPI enumeratedJuly 19, 2019
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233

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