MISSION UROLOGY
NPI 1063874337
Urology in Riverside, CA
NPI Status: Active since March 24, 2016
Contact Information
4500 BROCKTON AVE
SUITE 301
RIVERSIDE, CA
ZIP 92501
Phone: (951) 276-4505
Fax: (951) 276-4517
- Organization
- Urology
- CLIA Number: 05D2133704
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-17-2027
About MISSION UROLOGY
This page provides the complete NPI Profile along with additional information for Mission Urology, a provider established in Riverside, California operating as a Urology. The healthcare provider is registered in the NPI registry with number 1063874337 assigned on March 2016. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Mission Urology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mission Urology. The authorized official of this NPI record is Jo-ann Mendoza Md (President)
- NPI
- 1063874337
- Provider Legal Name
- MISSION UROLOGY, INC.
- Other Organization Name
- MISSION UROLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4500 BROCKTON AVE SUITE 301 RIVERSIDE, CA 92501
- Location Phone
- (951) 276-4505
- Location Fax
- (951) 276-4517
- Mailing Address
- PO BOX 7270 MORENO VALLEY, CA 92552
- Mailing Phone
- (951) 656-1500
- Mailing Fax
- (951) 276-4517
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-24-2016
- Last Update Date
- 06-24-2019
- Code Navigator
Location Map
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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 05D2133704
- Facility Type
- Physician Office
- Certificate Effective Date
- July 18, 2025
- Certificate Expiration Date
- July 17, 2027
- Laboratory Director
- TIMOTHY J. PIETRO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mission Urology 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063874337, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063874337, enumerated as an "organization" on March 24, 2016.
The provider is located at 4500 BROCKTON AVE SUITE 301 RIVERSIDE, CA 92501 and the phone number is (951) 276-4505.
Urology with taxonomy code 208800000X.
