NORCAL UROLOGY MEDICAL GROUP INC (NPI# 1447447446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447447446 |
| Entity Type | Organization |
| Organization Name | NORCAL UROLOGY MEDICAL GROUP INC |
| Practice Address |
5201 Norris Canyon Rd Suite 230 San Ramon CA 94583-5411 |
| Mailing Address |
3300 Webster St Suite 710 Oakland CA 94609-3117 |
| Practice Telephone | 9258662100 |
| Practice Fax Number | 5108666612 |
| Mailing Telephone | 5104655800 |
| Mailing Fax Number | 5108398984 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2010-06-28 |
| Authorized Official Name | MR. PAUL F DEVIVO (ADMINISTRATOR) |
| Authorized Official Telephone | 5104655800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5201 NORRIS CANYON RD SUITE 230 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447219902 | Toril Jelter | Pediatrics | 5201 Norris Canyon Rd, Suite 140, San Ramon, CA 94583-5411 | 2006-03-22 |
| 1447890793 | Kristin Ashimoto | Physical Therapist | 5201 Norris Canyon Rd, San Ramon, CA 94583-5411 | 2020-01-14 |
| 1174863971 | Verna O Tan | Physician Assistant | 5201 Norris Canyon Rd, Suite 130, San Ramon, CA 94583-5411 | 2013-02-15 |
| 1639424161 | Amanda Pazooki | Physical Therapist | 5201 Norris Canyon Rd, San Ramon, CA 94583-5411 | 2012-07-20 |
| 1316105802 | Haramandeep Singh Md Inc | Psychiatry & Neurology | 5201 Norris Canyon Rd, Suite 120, San Ramon, CA 94583-5411 | 2008-05-30 |
| 1194994087 | Tri-valley Sleep Center | Clinic/Center | 5201 Norris Canyon Rd, Suite 120, San Ramon, CA 94583-5411 | 2008-02-25 |
| 1821286022 | Paul J Wotowic | Plastic Surgery | 5201 Norris Canyon Rd, Suite 330, San Ramon, CA 94583-5411 | 2007-10-12 |
| 1609965094 | Patrick A Dawkins, Md Inc | Obstetrics & Gynecology | 5201 Norris Canyon Rd, #310, San Ramon, CA 94583-5409 | 2006-10-12 |
| 1154410967 | Haramandeep Singh | Psychiatry & Neurology | 5201 Norris Canyon Rd, Ste 120, San Ramon, CA 94583-5411 | 2006-10-11 |
| 1124119623 | Mark William Lee Lollar | Obstetrics & Gynecology | 5201 Norris Canyon Rd, #310, San Ramon, CA 94583-5406 | 2006-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
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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. |
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| 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 |
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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.