GOLD STANDARD UROLOGY MEDICAL GROUP
NPI 1417211533
Urology in Los Angeles, CA

Active since July 03, 2012
617 W MANCHESTER AVE, LOS ANGELES, CA 90044(213) 750-7675(888) 534-5766 Get Directions Write a Review

NPPES record last updated: July 3, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gold Standard Urology Medical Group NPPES

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

GOLD STANDARD UROLOGY MEDICAL GROUP (NPI 1417211533) is a healthcare organization registered as an urology in Los Angeles, California and active in the NPI registry since July 2012. The organization lists Dana Nicole Scott, President, as its authorized official.

NPPES Registry Identity

NPI1417211533
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGOLD STANDARD UROLOGY
Location Address617 W MANCHESTER AVELos Angeles, CA 90044-5718
Mailing Address4859 W Slauson Ave, #305Los Angeles, CA 90056-1290 · (213) 750-7675 · Fax (888) 534-5766
Fax(888) 534-5766
Organization SubpartNo
Authorized OfficialDana Nicole ScottPresident · (213) 750-7675
Enumeration DateJuly 3, 2012
✔ NPI 1417211533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A100321
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.
Also ListedSurgeryTaxonomy 208600000X · License A100321 (CA)
617 W MANCHESTER AVE, Los Angeles, CA 90044

Other Names 1

Doing Business AsGold Standard Urology Medical Group

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gold Standard Urology Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20130404000321Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gold Standard Urology Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1114109626
617 W. MANCHESTER BLVD.
Los Angeles, CA 90044
(213) 375-4944
✔ PECOS✔ Accepts MedicareSame address

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

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 Gold Standard Urology's NPI number?

The NPI number for Gold Standard Urology is 1417211533. It was assigned to this organization in the NPPES registry on July 3, 2012. The provider is doing business as Gold Standard Urology Medical Group.

Where is Gold Standard Urology located?

Gold Standard Urology is located at 617 W Manchester Ave, Los Angeles, CA 90044. The listed phone number is (213) 750-7675.

What is Gold Standard Urology's specialty?

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

Is Gold Standard Urology enrolled in Medicare?

Yes. Gold Standard Urology is registered in the Medicare PECOS enrollment system.

When is Gold Standard Urology's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gold Standard Urology?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Gold Standard Urology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gold Standard Urology was last updated on July 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.