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SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF UROLOGY
NPI 1306029285
Urology - Pediatric Urology in Madera, CA

Active since December 13, 2007
9300 VALLEY CHILDRENS PL, MB16, MADERA, CA 93636(559) 353-6195(559) 353-6196 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Specialty Medical Group Central California - Dept Of Urology NPPES

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

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF UROLOGY (NPI 1306029285) is a healthcare organization registered as a pediatric urology in Madera, California and active in the NPI registry since December 2007. The organization lists Ralph Diaz, President And Medical Director, as its authorized official.

NPPES Registry Identity

NPI1306029285
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF UROLOGY
Location Address9300 VALLEY CHILDRENS PL, MB16Madera, CA 93636-8761
Mailing Address9300 Valley Childrens Pl, Mb16Madera, CA 93636-8761 · (559) 353-6195 · Fax (559) 353-6196
Phone(559) 353-6195
Fax(559) 353-6196
Organization SubpartYesParent: Specialty Medical Group Central California Inc.
Authorized OfficialRalph DiazPresident And Medical Director · (559) 353-5700
Enumeration DateDecember 13, 2007
✔ NPI 1306029285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
9300 VALLEY CHILDRENS PL, Madera, CA 93636
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Other Identifiers 1

MedicaidGR007868LCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE L. HAMAN PT
Physical Therapist (Pediatrics)
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-6800
WILLIAM ARTHUR KOOLE JR. PHARM.D.
Pharmacist
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-5559
KRISTIN VAN HORN
Occupational Therapist
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-3000
RACHEL GARCIA-WALKER
Social Worker (Clinical)
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-3000
DR. KATHERINE DANIELLE SHAH MD
Student in an Organized Health Care Education/Training Program
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-5168
DR. MEERA RAMAYYA MD
Pediatrics (Pediatric Endocrinology)
9300 VALLEY CHILDRENS PL, MB23
MADERA, CA 93636
Madera County (559) 353-6600
DR. WHITNEY LYN KALIN M.D.
Pediatrics
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 353-5700
PAMELA REBECCA MARSH PNP-BC
Nurse Practitioner (Pediatrics)
9300 VALLEY CHILDRENS PL
MADERA, CA 93636
Madera County (559) 801-1997

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 Specialty Medical Group Central California - Dept Of Urology's NPI number?

The NPI number for Specialty Medical Group Central California - Dept Of Urology is 1306029285. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is Specialty Medical Group Central California - Dept Of Urology located?

Specialty Medical Group Central California - Dept Of Urology is located at 9300 Valley Childrens Pl Mb16, Madera, CA 93636. The listed phone number is (559) 353-6195.

What is Specialty Medical Group Central California - Dept Of Urology's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

When was this NPI record last updated?

The NPPES record for Specialty Medical Group Central California - Dept Of Urology was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.