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TRI VALLEY UROLOGY
NPI 1427309749
Specialist in Fallbrook, CA

Active since September 26, 2012
521 E ELDER ST, SUITE 201, FALLBROOK, CA 92028(951) 698-1901(951) 698-1074 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri Valley Urology NPPES

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

TRI VALLEY UROLOGY (NPI 1427309749) is a healthcare organization registered as a specialist in Fallbrook, California and active in the NPI registry since September 2012. The organization lists Philip P Brodak, Partner, as its authorized official.

NPPES Registry Identity

NPI1427309749
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTRI VALLEY UROLOGY
Location Address521 E ELDER ST, SUITE 201Fallbrook, CA 92028-3081
Mailing Address25495 Medical Center Dr, Suite 204Murrieta, CA 92562-4902 · (951) 698-1901 · Fax (951) 698-1074
Phone(951) 698-1901
Fax(951) 698-1074
Organization SubpartNo
Authorized OfficialPhilip P BrodakPartner · (951) 698-1901
Enumeration DateSeptember 26, 2012
Last NPPES UpdateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1427309749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
521 E ELDER ST, Fallbrook, CA 92028
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0963284

Tri Valley Urology Medical Group · Murrieta, CA
Expired · Jul 31, 2026
CLIA Number05D0963284
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorRichard Roberts
Laboratory Phone(951) 698-1901
Laboratory LocationTri Valley Urology Medical Group25495 Medical Center Dr, Ste 204, Murrieta, CA 92562
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

BEVERLY RADIOLOGY MEDICAL GROUP
Radiology (Diagnostic Radiology)
521 E ELDER ST, SUITE 101
FALLBROOK, CA 92028
San Diego County (310) 445-2000
TEMECULA VALLEY DIGESTIVE DISEASE CONSULTANTS A MEDICAL CORPORATION
Anesthesiology
521 E ELDER ST, SUITE 104
FALLBROOK, CA 92028
San Diego County (951) 566-5229
MGF SURGERY, AMC
Otolaryngology
521 E ELDER ST, SUITE 202
FALLBROOK, CA 92028
San Diego County (760) 723-1100
RHONDA C. MCMICHAEL OTR/L,HTC & PAM
Occupational Therapist
521 E ELDER ST, STE 106
FALLBROOK, CA 92028
San Diego County (760) 723-8337
RANCHO PHYSICAL THERAPY, INC.
Physical Therapist
521 E ELDER ST, SUITE 106
FALLBROOK, CA 92028
San Diego County (760) 723-8337
DR. EUNICE N. RHEE D.O.
Internal Medicine
521 E ELDER ST, STE 104
FALLBROOK, CA 92028
San Diego County (760) 728-9560
DR. JAMES EDWARD SORGE D.M.D.
Dentist (General Practice)
521 E ELDER ST, SUITE 203
FALLBROOK, CA 92028
San Diego County (760) 728-1592
CARRON ANNE SMITH NP
Nurse Practitioner
521 E ELDER ST, SUITE 101
FALLBROOK, CA 92028
San Diego County (760) 723-6501

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 Tri Valley Urology's NPI number?

The NPI number for Tri Valley Urology is 1427309749. It was assigned to this organization in the NPPES registry on September 26, 2012.

Where is Tri Valley Urology located?

Tri Valley Urology is located at 521 E Elder St Suite 201, Fallbrook, CA 92028. The listed phone number is (951) 698-1901.

What is Tri Valley Urology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tri Valley Urology was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.