INCONTINENCE AND PELVIC SUPPORT INSTITUTE
NPI 1619054962
Urology in Mission Viejo, CA

Q: What is Incontinence And Pelvic Support Institute's specialty?

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

Active since November 01, 2006

26800 CROWN VALLEY PKWY STE 475, MISSION VIEJO, CA 92691(888) 827-3286 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2025, Apr 18, 2024, Aug 22, 2020 (3 updates tracked since 2020).

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About Incontinence And Pelvic Support Institute NPPES

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

INCONTINENCE AND PELVIC SUPPORT INSTITUTE (NPI 1619054962) is a healthcare organization registered as an urology in Mission Viejo, California and active in the NPI registry since November 2006. The organization lists Lisa Andrade, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1619054962

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameINCONTINENCE AND PELVIC SUPPORT INSTITUTE

Location Address26800 CROWN VALLEY PKWY STE 475Mission Viejo, CA 92691-8027

Mailing Address28432 Via MambrinoSan Juan Capistrano, CA 92675-3346 · (949) 584-7505

Phone(888) 827-3286

Organization SubpartNo

Authorized OfficialLisa AndradePractice Manager · (949) 365-8845

Enumeration DateNovember 1, 2006

Last NPPES UpdateApril 1, 20253 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1619054962 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.

26800 CROWN VALLEY PKWY STE 475, Mission Viejo, CA 92691

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Incontinence And Pelvic Support Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Incontinence And Pelvic Support Institute, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Theodore Benderev, M.D.

Urology

NPI 1124045935

26800 CROWN VALLEY PKWY STE 475
Mission Viejo, CA 92691

(888) 827-3286

✔ PECOSSame address

Patricia Wallace, MD

Obstetrics/Gynecology

NPI 1629162995

26732 CROWN VALLEY PKWY SUITE 327
Mission Viejo, CA 92691

(949) 364-4400

✔ PECOS✔ Accepts Medicare0.1 mi

Kim Kanaly, M.D.

Obstetrics/Gynecology

NPI 1528089232

26732 CROWN VALLEY PKWY STE 327
Mission Viejo, CA 92691

(949) 364-4400

✔ PECOS✔ Accepts Medicare0.1 mi

Christine Horton, MD

Female Pelvic Medicine and Reconstructive Surgery

NPI 1679899629

26732 CROWN VALLEY PKWY STE 327
Mission Viejo, CA 92691

(949) 365-8845

✔ PECOS0.2 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 Incontinence And Pelvic Support Institute's NPI number?

The NPI number for Incontinence And Pelvic Support Institute is 1619054962. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Incontinence And Pelvic Support Institute located?

Incontinence And Pelvic Support Institute is located at 26800 Crown Valley Pkwy Ste 475, Mission Viejo, CA 92691. The listed phone number is (888) 827-3286.

What is Incontinence And Pelvic Support Institute's specialty?

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

Is Incontinence And Pelvic Support Institute enrolled in Medicare?

Yes. Incontinence And Pelvic Support Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Incontinence And Pelvic Support Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Incontinence And Pelvic Support Institute, in Female Pelvic Medicine and Reconstructive Surgery, Obstetrics/Gynecology and Urology. 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. Of these, 1 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 Incontinence And Pelvic Support Institute was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.