GREATER LONG BEACH GENITO-URINARY MED GRP
NPI 1417976705
Urology in Lakewood, CA

Q: What is Greater Long Beach Genito-Urinary Med Grp's specialty?

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

Active since July 18, 2006

3650 SOUTH STREET, SUITE 408, LAKEWOOD, CA 90712(562) 630-0423(562) 630-0660 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Greater Long Beach Genito-urinary Med Grp NPPES

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

GREATER LONG BEACH GENITO-URINARY MED GRP (NPI 1417976705) is a healthcare organization registered as an urology in Lakewood, California and active in the NPI registry since July 2006. The organization lists Jules M Perley, Md/president, as its authorized official.

NPPES Registry Identity

NPI1417976705

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameGREATER LONG BEACH GENITO-URINARY MED GRP

Location Address3650 SOUTH STREET, SUITE 408Lakewood, CA 90712-1510

Mailing Address3650 South Street, Suite 408Lakewood, CA 90712-1510 · (562) 630-0423 · Fax (562) 630-0660

Phone(562) 630-0423

Fax(562) 630-0660

Organization SubpartNo

Authorized OfficialJules M PerleyMd/president · (562) 630-0423

Enumeration DateJuly 18, 2006

Last NPPES UpdateJanuary 15, 2010

✔ NPI 1417976705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · G22223

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.

3650 SOUTH STREET, Lakewood, CA 90712

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Other Identifiers 19

Other1801865381CA · Physician Individual Pin

OtherWA76527BCA · Medicare Individual Provi

OtherG54806CA · State License

Medicare ID-Type UnspecifiedW8676ECA · Medicare Group Provider #

Medicare ID-Type UnspecifiedW8676CA · Medicare Group Provider #

MedicaidGR0049180CA

OtherWA76527ACA · Medicare Individual Provi

OtherA76527CA · State License

OtherG22223CA · State License

Medicare UPINA52795CA

OtherWG54806DCA · Medicare Individual Provi

Other1326017831CA · Physician Individual Upin

OtherWG54806CCA · Medicare Individual Provi

OtherWG22223ACA · Medicare Individual Provi

OtherWG22223BCA · Medicare Individual Provi

Medicare UPINA41515CA

Medicare ID-Type UnspecifiedW8676ACA · Medicare Group Provider #

Other1497724900CA · Physician Individual Pin

Medicare UPINH52054CA

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)

Greater Long Beach Genito-urinary Med Grp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Greater Long Beach Genito-Urinary Med Grp, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jonathan Perley, M.D.

Urology

NPI 1326017831

3650 SOUTH ST #408
Lakewood, CA 90712

(562) 630-0423

✔ PECOS✔ Accepts MedicareSame address

Jules Perley, M.D.

Urology

NPI 1801865381

3650 SOUTH ST SUITE 408
Lakewood, CA 90712

(562) 630-0423

✔ PECOS✔ Accepts MedicareSame address

Thomas Calvert, M.D.

Urology

NPI 1982042677

3650 SOUTH ST STE 408
Lakewood, CA 90712

(562) 630-0423

✔ PECOS✔ Accepts MedicareSame address

Shalini Malickal, DNP, APRN, FNP

Nurse Practitioner

NPI 1184454654

5901 E 7TH ST
Long Beach, CA 90822

(562) 316-8376

✔ PECOS✔ Accepts Medicare5.9 mi

Andrew Burg, M.D.

Pathology

NPI 1366523805

20505 CRESCENT BAY DR
Lake Forest, CA 92630

(714) 726-9565

✔ PECOS30 mi

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 Greater Long Beach Genito-Urinary Med Grp's NPI number?

The NPI number for Greater Long Beach Genito-Urinary Med Grp is 1417976705. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Greater Long Beach Genito-Urinary Med Grp located?

Greater Long Beach Genito-Urinary Med Grp is located at 3650 South Street Suite 408, Lakewood, CA 90712. The listed phone number is (562) 630-0423.

What is Greater Long Beach Genito-Urinary Med Grp's specialty?

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

Is Greater Long Beach Genito-Urinary Med Grp enrolled in Medicare?

Yes. Greater Long Beach Genito-Urinary Med Grp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Long Beach Genito-Urinary Med Grp?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Greater Long Beach Genito-Urinary Med Grp. 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. The largest specialties are Urology (3), Nurse Practitioner (1) and Pathology (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Greater Long Beach Genito-Urinary Med Grp was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.