CAPITOL UROLOGY MEDICAL GROUP INC (NPI# 1306867213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306867213 |
| Entity Type | Organization |
| Organization Name | CAPITOL UROLOGY MEDICAL GROUP INC |
| Practice Address |
1561 Creekside Dr Suite 170 Folsom CA 95630 |
| Mailing Address |
1561 Creekside Dr Suite 170 Folsom CA 95630-3492 |
| Practice Telephone | 9169835557 |
| Practice Fax Number | 9169837878 |
| Mailing Telephone | 9169835557 |
| Mailing Fax Number | 9169837878 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-11-25 |
| Authorized Official Name | JOYCE MYERS (PRACTICE MANAGER) |
| Authorized Official Telephone | 9169835557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G59349 | CA | Ambulatory Health Care Facilities |
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0065840 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379057 | Capitol Urology Medical Group Inc | Clinic/Center | 3939 J Street, Suite 250, Sacramento, CA 95819 | 2006-05-02 |
| 1245249226 | Capitol Urology Medical Group Inc | Clinic/Center | 500 University Ave, Suite 200, Sacramento, CA 95825-6504 | 2006-08-07 |
| 1588685499 | Capitol Urology Medical Group Inc | Clinic/Center | 6600 Mercy Ct, Suite 150, Fair Oaks, CA 95628 | 2006-07-23 |
| Street Address |
1561 CREEKSIDE DR SUITE 170 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791487 | Shahriar Mabourakh | Plastic Surgery | 1561 Creekside Dr, Suite 110, Folsom, CA 95630-3492 | 2006-06-20 |
| 1063761237 | Denise Kathleen Hopkins | Physician Assistant | 1561 Creekside Dr, Folsom, CA 95630-3492 | 2012-09-04 |
| 1245558923 | Kelli Carver | Physician Assistant | 1561 Creekside Dr, #150, Folsom, CA 95630-3492 | 2010-05-05 |
| 1326374844 | Creekside Surgery Suite | Clinic/Center | 1561 Creekside Dr, Suite 110, Folsom, CA 95630-3492 | 2009-10-19 |
| 1932348638 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1561 Creekside Dr, Suite 170, Folsom, CA 95630-3492 | 2009-02-19 |
| 1538209663 | Greater Sacramento Pediatrics Association Inc | Clinic/Center | 1561 Creekside Dr, Suite 140, Folsom, CA 95630-3492 | 2007-02-07 |
| 1295768737 | Medical Vision Technology Ophthalmology Group, Inc. | Ophthalmology | 1561 Creekside Dr, Suite 160, Folsom, CA 95630-3492 | 2006-07-08 |
| 1336176312 | Cecille G Taylor | Ophthalmology | 1561 Creekside Dr, #160, Folsom, CA 95630 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| 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 |
|---|---|---|---|---|
| 1164662813 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1651 Creekside Dr, Folsom, CA 95630-3833 | 2009-02-20 |
| 1912147612 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1650 Creekside Dr, Folsom, CA 95630-3400 | 2009-02-20 |
| 1932348638 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1561 Creekside Dr, Suite 170, Folsom, CA 95630-3492 | 2009-02-19 |
| 1275756314 | Udayshankar R Poonamallee | Urology | 1600 Creekside Dr, Suite 3600, Folsom, CA 95630-3444 | 2007-04-10 |
| 1407977531 | Brian Neal Naftulin | Urology | 1600 Creekside Dr, Suite 3600, Folsom, CA 95630-3444 | 2007-04-03 |
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| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
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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.