NORCAL UROLOGY MEDICAL GROUP INC
NPI 1447447446
Urology in San Ramon, CA
- Organization
- Urology
- CLIA Number: 05D0946361
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-21-2028
About NORCAL UROLOGY MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Norcal Urology Medical Group Inc, a provider established in San Ramon, California operating as a Urology. The healthcare provider is registered in the NPI registry with number 1447447446 assigned on October 2007. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 16 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 Mr. Paul F Devivo (Administrator)
- NPI
- 1447447446 Verify this NPI
- Provider Name
- NORCAL UROLOGY MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 5201 NORRIS CANYON RD SUITE 230 SAN RAMON, CA 94583
- Location Phone
- (925) 866-2100
- Location Fax
- (510) 866-6612
- Mailing Address
- 3300 WEBSTER ST SUITE 710 OAKLAND, CA 94609
- Mailing Phone
- (510) 465-5800
- Mailing Fax
- (510) 839-8984
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-03-2007
- Last Update Date
- 06-28-2010
- Code Navigator
Location Map
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- CA
- Taxonomy Description
- 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.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ14604Z | MEDICARE UPIN (02) | CA |
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
- 05D0946361
- Facility Type
- Physician Office
- Certificate Effective Date
- May 22, 2026
- Certificate Expiration Date
- May 21, 2028
- Laboratory Director
- CHRISTOPHER, B. WELTY, MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Norcal Urology Medical Group Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
SAN RAMON, CA 94583
SAN RAMON, CA 94583
SAN RAMON, CA 94583
SAN RAMON, CA 94583
SAN RAMON, CA 94583
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447447446, enumerated as an "organization" on October 03, 2007.
The provider is located at 5201 NORRIS CANYON RD SUITE 230 SAN RAMON, CA 94583 and the phone number is (925) 866-2100.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
