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NORCAL UROLOGY MEDICAL GROUP
NPI 1487800728
Urology in Walnut Creek, CA

Active since August 18, 2008CLIA 05D0602099 · Microscopy
1455 MONTEGO, SUITE 102, WALNUT CREEK, CA 94598(925) 977-9200(925) 937-6967 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Norcal Urology Medical Group NPPES

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

NORCAL UROLOGY MEDICAL GROUP (NPI 1487800728) is a healthcare organization registered as an urology in Walnut Creek, California and active in the NPI registry since August 2008. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Paul F Devivo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487800728
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNORCAL UROLOGY MEDICAL GROUP
Location Address1455 MONTEGO, SUITE 102Walnut Creek, CA 94598-2990
Mailing Address3300 Webster St, Suite 710Oakland, CA 94609-3117 · (510) 465-5800 · Fax (510) 839-8984
Phone(925) 977-9200
Fax(925) 937-6967
Organization SubpartNo
Authorized OfficialPaul F DevivoAdministrator · (510) 465-5800
Enumeration DateAugust 18, 2008
✔ NPI 1487800728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
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.
1455 MONTEGO, Walnut Creek, CA 94598
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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 for Provider-Performed Microscopy Procedures (PPMP) 05D0602099

Norcal Urology Medical Group, Inc · Walnut Creek, CA
Active · expires Aug 31, 2026
CLIA Number05D0602099
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKenneth Hsiao, MD
Laboratory Phone(925) 935-0627
Laboratory LocationNorcal Urology Medical Group, Inc355 Lennon Ln Ste 205, Walnut Creek, CA 94598
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE W ROLLER M.D.
Family Medicine
1455 MONTEGO, SUITE 104
WALNUT CREEK, CA 94598
Contra Costa County (925) 946-1711
DR. MARY LUCILLE BOEGEL M.D.
Family Medicine (Adult Medicine)
1455 MONTEGO, #104
WALNUT CREEK, CA 94598
Contra Costa County (925) 946-1711
CYPRESS WOMENS CANCER TREATMENT
Obstetrics & Gynecology
1455 MONTEGO, STE 100
WALNUT CREEK, CA 94598
Contra Costa County (925) 627-3440
DR. TAEJOON AHN M.D.
Family Medicine
1455 MONTEGO, SUITE 205
WALNUT CREEK, CA 94598
Contra Costa County (925) 939-4444
MICHELLE L MINOR RN PNP MN
Nurse Practitioner (Pediatrics)
1455 MONTEGO
WALNUT CREEK, CA 94598
Contra Costa County (925) 932-2402
MR. JOHN WOODSON ROBERTS MD
Urology
1455 MONTEGO, STE 102
WALNUT CREEK, CA 94598
Contra Costa County (925) 935-0627
DR. MARTIN J BRAKER M.D.
Internal Medicine
1455 MONTEGO, SUITE 207
WALNUT CREEK, CA 94598
Contra Costa County (925) 937-4057
DR. DANIEL YOUNG PAIK MD
Obstetrics & Gynecology (Gynecologic Oncology)
1455 MONTEGO, SUITE 100
WALNUT CREEK, CA 94598
Contra Costa County (925) 627-3440

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 Norcal Urology Medical Group's NPI number?

The NPI number for Norcal Urology Medical Group is 1487800728. It was assigned to this organization in the NPPES registry on August 18, 2008.

Where is Norcal Urology Medical Group located?

Norcal Urology Medical Group is located at 1455 Montego Suite 102, Walnut Creek, CA 94598. The listed phone number is (925) 977-9200.

What is Norcal Urology Medical Group's specialty?

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

Does Norcal Urology Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0602099) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Norcal Urology Medical Group was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.