TRI VALLEY UROLOGY
NPI 1427309749
Specialist in Fallbrook, CA

NPI Status: Active since September 26, 2012

Contact Information

521 E ELDER ST
SUITE 201
FALLBROOK, CA
ZIP 92028
Phone: (951) 698-1901
Fax: (951) 698-1074

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  • Organization
  • Specialist
  • CLIA Number: 05D0963284
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 10-31-2025

About TRI VALLEY UROLOGY

This page provides the complete NPI Profile along with additional information for Tri Valley Urology, a provider established in Fallbrook, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1427309749 assigned on September 2012. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Philip P Brodak Md (Partner)

NPI
1427309749
Provider Name
TRI VALLEY UROLOGY
Entity Type
Organization
Location Address
521 E ELDER ST SUITE 201 FALLBROOK, CA 92028
Location Phone
(951) 698-1901
Location Fax
(951) 698-1074
Mailing Address
25495 MEDICAL CENTER DR SUITE 204 MURRIETA, CA 92562
Mailing Phone
(951) 698-1901
Mailing Fax
(951) 698-1074
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2012
Last Update Date
09-08-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PHILIP P BRODAK MD

Authorized Official Title
PARTNER
Authorized Official Phone
(951) 698-1901

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0963284
Facility Type
Independent
Certificate Effective Date
September 11, 2021
Certificate Expiration Date
October 31, 2025
Laboratory Director
SHANG-TIAN CHUANG DO
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Tri Valley Urology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427309749, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 6 + 0 + 1 + 8 + 7 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1427309749.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
521 E ELDER ST, STE 205
FALLBROOK, CA 92028
Occupational Therapist
521 E ELDER ST, STE 106
FALLBROOK, CA 92028
Physical Therapist
521 E ELDER ST, STE 106
FALLBROOK, CA 92028
Pediatrics
521 E ELDER ST, 101
FALLBROOK, CA 92028
Nurse Practitioner
521 E ELDER ST, SUITE 101
FALLBROOK, CA 92028
Otolaryngology
521 E ELDER ST, SUITE 202
FALLBROOK, CA 92028
Home Health
521 E ELDER ST, SUITE 208
FALLBROOK, CA 92028
Hospice Care, Community Based
521 E ELDER ST, SUITE 208
FALLBROOK, CA 92028
Otolaryngology (Plastic Surgery within the Head & Neck)
521 E ELDER ST, SUITE 202
FALLBROOK, CA 92028
Orthopaedic Surgery
521 E ELDER ST, #105
FALLBROOK, CA 92028
Orthopaedic Surgery
521 E ELDER ST, #105
FALLBROOK, CA 92028
Nurse Practitioner
521 E ELDER ST, STE 104
FALLBROOK, CA 92028
Physical Therapist
521 E ELDER ST, STE. 106
FALLBROOK, CA 92028
Internal Medicine (Gastroenterology)
521 E ELDER ST, STE 104
FALLBROOK, CA 92028
Internal Medicine
521 E ELDER ST, STE 104
FALLBROOK, CA 92028
Anesthesiology
521 E ELDER ST, SUITE 104
FALLBROOK, CA 92028
Physical Therapist
521 E ELDER ST, STE. 106
FALLBROOK, CA 92028
Orthopaedic Surgery
521 E ELDER ST, #105
FALLBROOK, CA 92028
Radiology (Diagnostic Radiology)
521 E ELDER ST, SUITE 101
FALLBROOK, CA 92028
Dentist (General Practice)
521 E ELDER ST, SUITE #203
FALLBROOK, CA 92028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427309749, enumerated as an "organization" on September 26, 2012.

The provider is located at 521 E ELDER ST SUITE 201 FALLBROOK, CA 92028 and the phone number is (951) 698-1901.

Specialist with taxonomy code 174400000X.