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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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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?

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: 5/5/2024

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