TRI VALLEY UROLOGY (NPI# 1427309749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427309749 |
| Entity Type | Organization |
| Organization Name | TRI VALLEY UROLOGY |
| Practice Address |
521 E Elder St Suite 201 Fallbrook CA 92028-3081 |
| Mailing Address |
25495 Medical Center Dr Suite 204 Murrieta CA 92562-4902 |
| Practice Telephone | 9516981901 |
| Practice Fax Number | 9516981074 |
| Mailing Telephone | 9516981901 |
| Mailing Fax Number | 9516981074 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | DR. PHILIP P BRODAK (PARTNER) |
| Authorized Official Telephone | 9516981901 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
521 E ELDER ST SUITE 201 |
| City | FALLBROOK |
| State | CA |
| Zip Code | 92028-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053438 | Melvyn J Michaelian | Surgery | 521 E Elder St, Ste 205, Fallbrook, CA 92028-3083 | 2005-06-16 |
| 1518322197 | Raphael V Dolojan | Physical Therapist | 521 E Elder St, Suite 106, Fallbrook, CA 92028-3081 | 2015-12-23 |
| 1043681752 | Beverly Radiology Medical Group | Radiology | 521 E Elder St, Suite 101, Fallbrook, CA 92028-3081 | 2015-10-08 |
| 1942621784 | Gi Excellence Inc | Internal Medicine | 521 E Elder St, Suite 206, Fallbrook, CA 92028-3083 | 2013-12-20 |
| 1063858454 | Temecula Valley Digestive Disease Consultants A Medical Corporation | Anesthesiology | 521 E Elder St, Suite 104, Fallbrook, CA 92028-3081 | 2013-05-13 |
| 1477808673 | Luke Anthony Scott | Physical Therapist | 521 E Elder St, Ste. 106, Fallbrook, CA 92028-3081 | 2012-07-13 |
| 1396005674 | Mary Elizabeth Wright | Nurse Practitioner | 521 E Elder St, Ste 104, Fallbrook, CA 92028-3081 | 2012-05-21 |
| 1316210933 | Amanda Maryellen Martin | Physical Therapist | 521 E Elder St, Suite 106, Fallbrook, CA 92028-3081 | 2012-02-13 |
| 1578831871 | Rolf R. Drinhaus, M.d., Inc. | Orthopaedic Surgery | 521 E Elder St, #105, Fallbrook, CA 92028-3081 | 2011-12-01 |
| 1972890630 | H. Ward Brooks, M.d. Apc | Orthopaedic Surgery | 521 E Elder St, #105, Fallbrook, CA 92028-3081 | 2011-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235727 | Mmr Dme | Durable Medical Equipment & Medical Supplies | 1116 S Main Ave, Fallbrook, CA 92028 | 2018-05-10 |
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| 1215375852 | Ashley Stein Araiza | Dentist | 304 N Orange Ave, Fallbrook, CA 92028 | 2013-06-05 |
| 1063794253 | Elizabeth Ann Nestor | Developmental Therapist | 4164 Lake Circle Dr, Fallbrook, CA 92028 | 2011-09-13 |
| 1639460173 | Narciso Hernandez | Case Manager/Care Coordinator | 120 W Hawthone, Fallbrook, CA 92028 | 2011-05-02 |
| 1699961755 | Susana Bowen | Registered Nurse | 628 East Elder, Fallbrook Hospital, Fallbrook, CA 92028 | 2007-09-21 |
| 1912190869 | Helena Holmes Morrison | Social Worker | 2068a E. Mission Rd., Fallbrook, CA 92028 | 2007-08-23 |
| 1831311059 | Eric J Ramos, A Proffesional Corp | Optometrist | 645 E. Elder St. Ste D, Fallbrook, CA 92028 | 2007-05-03 |
| 1578617551 | Gregory Dean Montague | Dentist | 304 East Mission Road, Suite C, Fallbrook, CA 92028 | 2007-01-23 |
| 1629120944 | Michele H Germain | Social Worker | 577 E Elder, Suite F, Fallbrook, CA 92028 | 2007-01-17 |
| Find all providers in zip 92028 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093011488 | Franklin K. Torres Md PC | Specialist | 589 E Elder St, Fallbrook, CA 92028-3003 | 2011-02-01 |
| 1881999860 | Nancy A Findlay | Specialist | 1611 Camino De Nog, Fallbrook, CA 92028-4611 | 2011-01-21 |
| 1659405041 | Bianchi Ob Gyn Associates A Medical Corporation | Specialist | 113 S Vine St, Ste A, Fallbrook, CA 92028-2925 | 2007-03-15 |
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| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
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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.