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UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA NPI 1003118290


NPI Information

NPI: 1003118290
Provider Name: UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D1047151

Address:
123 DI SALVO AVE
SUITE D
SAN JOSE, CA
ZIP 95128
Phone: (408) 294-9000
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UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA is an urology in San Jose, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA NPI is 1003118290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

123 DI SALVO AVE
SUITE D
SAN JOSE, CA
ZIP 95128-717
Phone: (408) 294-9000
Fax: (408) 294-9004

The provider's authorized official is David Hc King .
The authorized official title is President and has the following contact phone number (408) 866-2500.

The CLIA number assigned to this NPI record is 05D1047151 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/22/2010 and was last updated on 10/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16493340006MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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