UNITED UROLOGY CONSULTANTS, P.C. (NPI# 1295210029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295210029 |
| Entity Type | Organization |
| Organization Name | UNITED UROLOGY CONSULTANTS, P.C. |
| Practice Address |
5555 Grossmont Center Dr La Mesa CA 91942-3019 |
| Mailing Address |
12230 World Trade Dr Ste 250 San Diego CA 92128-3799 |
| Practice Telephone | 6197406000 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | DR. ALAN AIKENS (OWNER) |
| Authorized Official Telephone | 6197406000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
5555 GROSSMONT CENTER DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589293 | Raed A Al-naser | Internal Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2005-06-21 |
| 1568062552 | Justin Cantley | Nurse Practitioner | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2020-10-28 |
| 1942828314 | Honey Mae Cosare Surmillon | Licensed Vocational Nurse | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2020-07-11 |
| 1922632801 | Susan Daniels | Occupational Therapist | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2020-02-28 |
| 1457917791 | Elpitha K Tsiskakis | Physician Assistant | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2019-05-13 |
| 1336601053 | Diane Wade Bloomberg | Dietitian, Registered | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2019-04-02 |
| 1265992846 | Vincent Crump | Registered Nurse | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2019-03-21 |
| 1639660368 | Aileen Cathy Chu | Pharmacist | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2018-05-29 |
| 1447767678 | Leslie Ling | Registered Nurse | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2018-01-09 |
| 1235669268 | Physician Assistant Surgassist, Inc. | Orthopaedic Surgery | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2017-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245673334 | Carrie Aisen | Urology | 8881 Fletcher Pkwy Ste 250, La Mesa, CA 91942-3191 | 2013-04-09 |
| 1932475753 | Arthur Lee Wollman | Urology | 9750 Lake Helix Ter, La Mesa, CA 91941-4432 | 2012-03-26 |
| 1861673436 | Stephanie R Collier | Urology | 8851 Center Dr Ste 208, La Mesa, CA 91942-3189 | 2007-11-23 |
| 1598858896 | Scott Logan Brown,md, A Professional Corp | Urology | 8851 Center Dr., Suite 208, La Mesa, CA 91942-3058 | 2006-10-02 |
| 1144232778 | Wilfred S. Kearse Jr. | Urology | 8851 Center Dr Ste 501, La Mesa, CA 91942-3033 | 2006-08-12 |
| 1124563515 | On Call Urology Associates | Urology | 8851 Center Dr Ste 208, La Mesa, CA 91942-3189 | 2016-12-21 |
| 1932586302 | Cameron Wilson Inc | Urology | 8851 Center Dr Ste 208, La Mesa, CA 91942-3189 | 2015-05-05 |
| 1689081275 | Claudia Sevilla | Urology | 8881 Fletcher Pkwy Ste 250, La Mesa, CA 91942-3191 | 2014-07-16 |
| 1255775912 | Michael Andrew Ahdoot | Urology | 8881 Fletcher Pkwy Ste 250, La Mesa, CA 91942-3191 | 2013-04-24 |
| 1861707366 | The Urological Institute of San Diego | Urology | 8851 Center Dr, Suite 208, La Mesa, CA 91942-3189 | 2010-08-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.