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MONTEREY BAY UROLOGY ASSOCIATES NPI 1790864320


NPI Information

NPI: 1790864320
Provider Name: MONTEREY BAY UROLOGY ASSOCIATES
Classification: Urology - 208800000X
Entity Type: Organization
Address:
160 GREEN VALLEY RD
SUITE 203
FREEDOM, CA
ZIP 95019
Phone: (831) 728-4227
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MONTEREY BAY UROLOGY ASSOCIATES is an urology in Freedom, 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. MONTEREY BAY UROLOGY ASSOCIATES NPI is 1790864320. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

160 GREEN VALLEY RD
SUITE 203
FREEDOM, CA
ZIP 95019-160
Phone: (831) 728-4227
Fax: (831) 728-0410

The provider's authorized official is David Stephen Benjamin .
The authorized official title is Partner and has the following contact phone number (831) 728-4227.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 3/15/2010.


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
1CN6663MEDICARE PIN
2GR0083650MEDICAIDCALIFORNIA
3ZZZ15544ZMEDICARE PIN
4ZZZ15543ZMEDICARE PIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.