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JAVIDAN UROLOGY, INC
NPI 1174043129
Urology in Roseville, CA

Active since June 21, 2017CLIA 05D2149113 · Waiver
729 SUNRISE AVE STE 200, ROSEVILLE, CA 95661(916) 245-2444(916) 245-2441 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Javidan Urology, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAVIDAN UROLOGY, INC (NPI 1174043129) is a healthcare organization registered as an urology in Roseville, California and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Sveta Aslanyan, Manager, as its authorized official.

NPPES Registry Identity

NPI1174043129
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJAVIDAN UROLOGY, INC
Location Address729 SUNRISE AVE STE 200Roseville, CA 95661-4504
Mailing Address729 Sunrise Ave Ste 200Roseville, CA 95661-4504 · (916) 245-2444 · Fax (916) 245-2441
Phone(916) 245-2444
Fax(916) 245-2441
Organization SubpartNo
Authorized OfficialSveta AslanyanManager · (916) 947-0967
Enumeration DateJune 21, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1174043129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A83658
Definition
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.
729 SUNRISE AVE STE 200, Roseville, CA 95661
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Other Identifiers 1

Medicaid1679558605CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Javidan Urology, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Javidan Urology, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

David Couillard, MD
Urology
NPI 1457462319
584 N SUNRISE AVE STE 100
Roseville, CA 95661
(916) 251-3063
✔ PECOS✔ Accepts Medicare0.3 mi
Javid Javidan-Nejad, MD
Urology
NPI 1679558605
6620 COYLE AVENUE SUITE 301
Carmichael, CA 95608
(916) 961-2514
✔ PECOS✔ Accepts Medicare5.1 mi
Jeffrey Bassett, M.D., M.P.H.
Urology
NPI 1174718399
1525 SUPERIOR AVE STE 210
Newport Beach, CA 92663
(949) 999-8979
✔ PECOS✔ Accepts Medicare398 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2149113

Javidan Urology Inc · Carmichael, CA
Active · expires May 23, 2028
CLIA Number05D2149113
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorJavid Javidan-Nejad
Laboratory Phone(916) 245-2444
Laboratory LocationJavidan Urology Inc6600 Coyle Ave Ste 1, Carmichael, CA 95608
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Javidan Urology, Inc's NPI number?

The NPI number for Javidan Urology, Inc is 1174043129. It was assigned to this organization in the NPPES registry on June 21, 2017.

Where is Javidan Urology, Inc located?

Javidan Urology, Inc is located at 729 Sunrise Ave Ste 200, Roseville, CA 95661. The listed phone number is (916) 245-2444.

What is Javidan Urology, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Javidan Urology, Inc enrolled in Medicare?

Yes. Javidan Urology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Javidan Urology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Urology, reassign their Medicare billing to Javidan Urology, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Javidan Urology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2149113) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Javidan Urology, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.