UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY
NPI 1154329266
Urology in Fullerton, CA

NPI Status: Active since July 12, 2005

Contact Information

1400 N HARBOR BLVD STE 300
FULLERTON, CA
ZIP 92835
Phone: (714) 830-5970
Fax: (714) 870-4792

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  • Organization
  • Urology
  • CLIA Number: 05D0576738
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-03-2026

About UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY

This page provides the complete NPI Profile along with additional information for Urological Medical Group Of North Orange County, a provider established in Fullerton, California operating as a Urology. The healthcare provider is registered in the NPI registry with number 1154329266 assigned on July 2005. The practitioner's primary taxonomy code is 208800000X with license number A65760 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Eric Brendan Tygenhof (Partner)

NPI
1154329266
Provider Name
UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY
Entity Type
Organization
Location Address
1400 N HARBOR BLVD STE 300 FULLERTON, CA 92835
Location Phone
(714) 830-5970
Location Fax
(714) 870-4792
Mailing Address
1400 N HARBOR BLVD STE 300 FULLERTON, CA 92835
Mailing Phone
(714) 830-5970
Mailing Fax
(714) 870-4792
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2005
Last Update Date
10-17-2025
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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
License No.
A65760
License State
CA
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.

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

DR. ERIC BRENDAN TYGENHOF

Authorized Official Title
PARTNER
Authorized Official Phone
(323) 865-3700

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
05D0576738
Facility Type
Physician Office
Certificate Effective Date
November 04, 2024
Certificate Expiration Date
November 03, 2026
Laboratory Director
MICHAEL S. GAZZANIGA MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Urological Medical Group Of North Orange County 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 1154329266, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 3 → 6 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 6 + 2 + 1 + 8 + 2 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154329266.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Urology
1400 N HARBOR BLVD STE 300
FULLERTON, CA 92835
Occupational Therapist
1400 N HARBOR BLVD STE 300
FULLERTON, CA 92835
Non-Pharmacy Dispensing Site
1400 N HARBOR BLVD STE 300
FULLERTON, CA 92835
Urology
1400 N HARBOR BLVD STE 300
FULLERTON, CA 92835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154329266, enumerated as an "organization" on July 12, 2005.

The provider is located at 1400 N HARBOR BLVD STE 300 FULLERTON, CA 92835 and the phone number is (714) 830-5970.

Urology with taxonomy code 208800000X.