NORCAL UROLOGY MEDICAL GROUP INC NPI 1447447446

NPI Information

NPI: 1447447446
Provider Name: NORCAL UROLOGY MEDICAL GROUP INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D0946361

Address:
5201 NORRIS CANYON RD
SUITE 230
SAN RAMON, CA
ZIP 94583
Phone: (925) 866-2100
Get Directions

NORCAL UROLOGY MEDICAL GROUP INC is an urology in San Ramon, 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. NORCAL UROLOGY MEDICAL GROUP INC NPI is 1447447446. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5201 NORRIS CANYON RD
SUITE 230
SAN RAMON, CA
ZIP 94583-411
Phone: (925) 866-2100
Fax: (510) 866-6612

The provider's authorized official is Paul F Devivo .
The authorized official title is Administrator and has the following contact phone number (510) 465-5800.

The CLIA number assigned to this NPI record is 05D0946361 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/3/2007 and was last updated on 6/28/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology			CALIFORNIA	Yes

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
1	ZZZ14604Z	MEDICARE UPIN	CALIFORNIA

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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