UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA (NPI# 1780986950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780986950 |
| Entity Type | Organization |
| Organization Name | UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA |
| Practice Address |
2550 Samaritan Dr Suite D San Jose CA 95124-4104 |
| Mailing Address |
Po Box 6971 Lincoln NE 68506-0971 |
| Practice Telephone | 4083587505 |
| Practice Fax Number | 4083587521 |
| Mailing Telephone | 4024867006 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |
| Authorized Official Name | DAVID HC KINQ (PRESIDENT) |
| Authorized Official Telephone | 4088662500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225331770 | Urological Surgeons of Northern California | Urology | 2110 Forest Ave, Suite C, San Jose, CA 95128-1469 | 2010-12-06 |
| 1043513591 | Urological Surgeons of Northern California | Urology | 2581 Samaritan Dr, Suite 200, San Jose, CA 95124-4113 | 2010-12-06 |
| 1770886210 | Urological Surgeons of Northern California | Urology | 2505 Samaritan Dr, Suite 201, San Jose, CA 95124-4006 | 2010-12-06 |
| 1881996056 | Urological Surgeons of Northern California | Urology | 320 Dardanelli Ln, Suite 23b, Los Gatos, CA 95032-1440 | 2010-11-22 |
| 1003118290 | Urological Surgeons of Northern California | Urology | 123 Di Salvo Ave, Suite D, San Jose, CA 95128-1717 | 2010-11-22 |
| 1982906178 | Urological Surgeons of Northern California | Urology | 25 N 14th St, San Jose, CA 95112-6204 | 2010-11-22 |
| 1477855641 | Urological Surgeons of Northern California | Urology | 2490 Hospital Dr, Suite 210, Mountain View, CA 94040-4122 | 2010-11-22 |
| Street Address |
2550 SAMARITAN DR SUITE D |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066063 | Ann Mcdonald Rice | Marriage & Family Therapist | 2550 Samaritan Dr, Suite E, San Jose, CA 95124-4104 | 2005-10-10 |
| 1649647736 | Mohammed S. Qayyum M.d. Inc | Specialist | 2550 Samaritan Dr, D, San Jose, CA 95124-4104 | 2015-08-25 |
| 1396182333 | Janine Elizabeth Penha | Dietitian, Registered | 2550 Samaritan Dr, Suite A, San Jose, CA 95124-4104 | 2013-05-31 |
| 1033357660 | Pamela A. Milliken | Counselor | 2550 Samaritan Dr, Suite E, San Jose, CA 95124-4104 | 2009-02-04 |
| 1851545024 | Michael F. Killion M. D. A Medical Corporation | Specialist | 2550 Samaritan Dr, Suite B, San Jose, CA 95124-4104 | 2008-11-13 |
| 1487850350 | Samaritan Plastic Surgery Center, Inc | Clinic/Center | 2550 Samaritan Dr, San Jose, CA 95124-4104 | 2007-06-26 |
| 1174731095 | Fahd Rahman Khan | Neurological Surgery | 2550 Samaritan Dr, Ste D, San Jose, CA 95124-4104 | 2007-05-21 |
| 1255544730 | David W. Noller, M.d. A Medical Corporation | Obstetrics & Gynecology | 2550 Samaritan Dr, Suite D, San Jose, CA 95124-4104 | 2007-05-08 |
| 1679666994 | Mohammed Shahzad Qayyum | Internal Medicine | 2550 Samaritan Dr, Suite D, San Jose, CA 95124-4104 | 2006-09-30 |
| 1902839053 | Dagmar Maria Horvath | Preferred Provider Organization | 2550 Samaritan Dr, Suite A, San Jose, CA 95124-4104 | 2006-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
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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 |
|---|---|---|---|---|
| 1457611048 | Naveen Yadav | Urology | 250 Hospital Pkwy Bldg B, San Jose, CA 95119-1103 | 2012-05-17 |
| 1912070889 | David Mark Nudell | Urology | 2581 Samaritan Drive, San Jose, CA 95124 | 2006-11-16 |
| 1972558666 | Edward Wang | Urology | 175 N Jackson Ave Ste 206, San Jose, CA 95116-1909 | 2006-05-23 |
| 1851341655 | Han P Lo | Urology | 75 N Bascom Ave Ste 210, San Jose, CA 95128-1802 | 2006-05-11 |
| 1447244785 | Terrence R Sullivan | Urology | 2110 Forest Ave, #c, San Jose, CA 95128-1469 | 2005-09-01 |
| 1063857597 | Peter Albert Elliott | Urology | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2013-05-10 |
| 1225331770 | Urological Surgeons of Northern California | Urology | 2110 Forest Ave, Suite C, San Jose, CA 95128-1469 | 2010-12-06 |
| 1043513591 | Urological Surgeons of Northern California | Urology | 2581 Samaritan Dr, Suite 200, San Jose, CA 95124-4113 | 2010-12-06 |
| 1770886210 | Urological Surgeons of Northern California | Urology | 2505 Samaritan Dr, Suite 201, San Jose, CA 95124-4006 | 2010-12-06 |
| 1003118290 | Urological Surgeons of Northern California | Urology | 123 Di Salvo Ave, Suite D, San Jose, CA 95128-1717 | 2010-11-22 |
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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.