TRI VALLEY UROLOGY NPI 1427309749

NPI Information

  • NPI: 1427309749
  • Provider Name: TRI VALLEY UROLOGY
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 05D0963284
  • Address: 521 E ELDER ST
    SUITE 201
    FALLBROOK, CA
    ZIP 92028
  • Phone: (951) 698-1901

Map and Directions

Get Directions

NPI Details

TRI VALLEY UROLOGY is a specialist in Fallbrook, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TRI VALLEY UROLOGY NPI is 1427309749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

521 E ELDER ST
SUITE 201
FALLBROOK, CA
ZIP 92028-081
Phone: (951) 698-1901
Fax: (951) 698-1074

The provider's authorized official is Philip P Brodak .
The authorized official title is Partner and has the following contact phone number (951) 698-1901.

The CLIA number assigned to this NPI record is 05D0963284 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/26/2012 and was last updated on 9/8/2021.

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
1174400000XSpecialistYes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI