Provider Type Icon

SAN FERNANDO VALLEY UROL ASSOC MED NPI 1912930710


NPI Information

NPI: 1912930710
Provider Name: SAN FERNANDO VALLEY UROL ASSOC MED

Doing Business As: SAN FERNANDO VALLEY UROLOGICAL ASSOCIATES MEDICAL GROUP INC

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D2032087

Address:
18370 BURBANK BLVD
STE 407
TARZANA, CA
ZIP 91356
Phone: (818) 996-4242
Get Directions

SAN FERNANDO VALLEY UROL ASSOC MED is an urology in Tarzana, 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. SAN FERNANDO VALLEY UROL ASSOC MED NPI is 1912930710. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Fernando Valley Urological Associates Medical Group Inc.

The provider's business location address is:

18370 BURBANK BLVD
STE 407
TARZANA, CA
ZIP 91356-804
Phone: (818) 996-4242
Fax: (818) 996-4352

The provider's authorized official is Richard Shapiro .
The authorized official title is President and has the following contact phone number (818) 996-4242.

The CLIA number assigned to this NPI record is 05D2032087 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/8/2006 and was last updated on 1/3/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W562MEDICARE PINCALIFORNIA
2CP5338OTHERCALIFORNIARAILROAD MEDICARE
3ZZZ49135ZMEDICAIDCALIFORNIA
4W562BMEDICARE PINCALIFORNIA
5ZZZ16738ZOTHERCALIFORNIABLUE SHIELD

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

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.