NORCAL UROLOGY MEDICAL GROUP NPI 1487800728

NPI Information

  • NPI: 1487800728
  • Provider Name: NORCAL UROLOGY MEDICAL GROUP
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 05D0602099
  • Address: 1455 MONTEGO
    SUITE 102
    WALNUT CREEK, CA
    ZIP 94598
  • Phone: (925) 977-9200

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NPI Details

NORCAL UROLOGY MEDICAL GROUP is an urology in Walnut Creek, 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 NPI is 1487800728. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1455 MONTEGO
SUITE 102
WALNUT CREEK, CA
ZIP 94598-990
Phone: (925) 977-9200
Fax: (925) 937-6967

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 05D0602099 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/18/2008 and was last updated on 8/18/2008.

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
1208800000XUrologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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