CITRUS VALLEY UROLOGIC MEDICAL GROUP, INC.
NPI 1366491888
Urology in Glendora, CA

Q: What is Citrus Valley Urologic Medical Group, Inc.'s specialty?

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

Active since May 10, 2006

412 WEST CARROLL AVENUE, SUITE 200, GLENDORA, CA 91741(626) 914-3921(626) 914-9611 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Citrus Valley Urologic Medical Group, Inc. NPPES

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

CITRUS VALLEY UROLOGIC MEDICAL GROUP, INC. (NPI 1366491888) is a healthcare organization registered as an urology in Glendora, California and active in the NPI registry since May 2006. The organization lists Josephine Marie Davis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366491888

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameCITRUS VALLEY UROLOGIC MEDICAL GROUP, INC.

Location Address412 WEST CARROLL AVENUE, SUITE 200Glendora, CA 91741-4264

Mailing Address412 West Carroll Avenue, Suite 200Glendora, CA 91741-4264 · (626) 914-3921 · Fax (626) 914-9611

Phone(626) 914-3921

Fax(626) 914-9611

Organization SubpartNo

Authorized OfficialJosephine Marie DavisOffice Manager · (626) 914-3921

Enumeration DateMay 10, 2006

Last NPPES UpdateMarch 27, 2013

✔ NPI 1366491888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

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.

412 WEST CARROLL AVENUE, Glendora, CA 91741

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Other Identifiers 3

Medicare UPINA41263CA

Medicare UPINW1349ACA

MedicaidZZZ726372CA

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Citrus Valley Urologic Medical Group, Inc.'s NPI number?

The NPI number for Citrus Valley Urologic Medical Group, Inc. is 1366491888. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Citrus Valley Urologic Medical Group, Inc. located?

Citrus Valley Urologic Medical Group, Inc. is located at 412 West Carroll Avenue Suite 200, Glendora, CA 91741. The listed phone number is (626) 914-3921.

What is Citrus Valley Urologic Medical Group, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Citrus Valley Urologic Medical Group, Inc. was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.