UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA
NPI 1003118290
Urology in San Jose, CA

NPI Status: Active since November 22, 2010

Contact Information

123 DI SALVO AVE
SUITE D
SAN JOSE, CA
ZIP 95128
Phone: (408) 294-9000
Fax: (408) 294-9004

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  • Organization
  • Urology
  • CLIA Number: 05D1047151
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-26-2025

About UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA

This page provides the complete NPI Profile along with additional information for Urological Surgeons Of Northern California, a provider established in San Jose, California operating as a Urology. The healthcare provider is registered in the NPI registry with number 1003118290 assigned on November 2010. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is David Hc King Md (President)

NPI
1003118290
Provider Name
UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA
Entity Type
Organization
Location Address
123 DI SALVO AVE SUITE D SAN JOSE, CA 95128
Location Phone
(408) 294-9000
Location Fax
(408) 294-9004
Mailing Address
PO BOX 6971 LINCOLN, NE 68506
Mailing Phone
(402) 486-7006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2010
Last Update Date
10-09-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID HC KING MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(408) 866-2500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6493340006MEDICARE NSC (07)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1047151
Facility Type
Physician Office
Certificate Effective Date
October 27, 2023
Certificate Expiration Date
October 26, 2025
Laboratory Director
HAN LO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Urological Surgeons Of Northern California in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003118290
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20032116218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 2 + 1 + 1 + 6 + 2 + 1 + 8 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003118290 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

DR. WILLIAM ROBERT STEARNS M.D.

Orthopaedic Surgery

123 DI SALVO AVE
SUITE E
SAN JOSE, CA
ZIP 95128

(408) 297-3485

DR. ROBERT WALTER ANDONIAN M.D.

Urology

123 DI SALVO AVE
SUITE D
SAN JOSE, CA
ZIP 95128

(408) 279-0742

DR. STEPHEN TASKER IMRIE MD

Orthopaedic Surgery

123 DI SALVO AVE
SUITE C
SAN JOSE, CA
ZIP 95128

(408) 998-4787

JENNIFER A BARON MD

Dermatology

(MOHS-Micrographic Surgery)

123 DI SALVO AVE
SUITE A
SAN JOSE, CA
ZIP 95128

(408) 418-8780

WILLIAM R. STEARNS A PROFESSIONAL CORPORATION

Orthopaedic Surgery

123 DI SALVO AVE
SUITE E
SAN JOSE, CA
ZIP 95128

(408) 297-3485

DR. JOSEPH DECKER M.D.

Ophthalmology

123 DI SALVO AVE
SUITE 20
SAN JOSE, CA
ZIP 95128

(408) 279-4664

DR. GEORGE S YANG M.D.

Ophthalmology

123 DI SALVO AVE
SUITE 20
SAN JOSE, CA
ZIP 95128

(408) 279-4664

SAN JOSE EYE INSTITUTE MEDICAL CORPORATION

Ophthalmology

123 DI SALVO AVE
SUITE 20
SAN JOSE, CA
ZIP 95128

(408) 279-4664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003118290, enumerated as an "organization" on November 22, 2010.

The provider is located at 123 DI SALVO AVE SUITE D SAN JOSE, CA 95128 and the phone number is (408) 294-9000.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.