JAVIDAN UROLOGY INC NPI 1174043129

NPI Information

  • NPI: 1174043129
  • Provider Name: JAVIDAN UROLOGY, INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 05D2149113
  • Address: 729 SUNRISE AVE STE 200
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 245-2444

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NPI Details

JAVIDAN UROLOGY, INC is an urology in Roseville, 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. JAVIDAN UROLOGY, INC NPI is 1174043129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

729 SUNRISE AVE STE 200
ROSEVILLE, CA
ZIP 95661-504
Phone: (916) 245-2444
Fax: (916) 245-2441

The provider's authorized official is Sveta Aslanyan .
The authorized official title is Manager and has the following contact phone number (916) 947-0967.

The CLIA number assigned to this NPI record is 05D2149113 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyA83658CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11679558605MEDICAIDCALIFORNIA

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: 3/30/2025

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