TRI VALLEY UROLOGY MEDICAL GROUP
NPI 1659471746
Urology in Murrieta, CA

Active since September 25, 2006
25495 MEDICAL CENTER DR, 204, MURRIETA, CA 92562(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: October 18, 2026.

About Tri Valley Urology Medical Group NPPES

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

TRI VALLEY UROLOGY MEDICAL GROUP (NPI 1659471746) is a healthcare organization registered as an urology in Murrieta, California and active in the NPI registry since September 2006. The organization lists Philip P Brodak, Partner, as its authorized official.

NPPES Registry Identity

NPI1659471746
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameTRI VALLEY UROLOGY MEDICAL GROUP
Location Address25495 MEDICAL CENTER DR, 204Murrieta, CA 92562-4902
Mailing Address25495 Medical Center Dr, 204Murrieta, CA 92562-4902 · (951) 698-1901 · Fax (951) 698-1074
Fax(951) 698-1074
Organization SubpartNo
Authorized OfficialPhilip P BrodakPartner · (951) 698-1901
Enumeration DateSeptember 25, 2006
Last NPPES UpdateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1659471746 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.
25495 MEDICAL CENTER DR, Murrieta, CA 92562

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri Valley Urology Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Tri Valley Urology Medical Group, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Diagnostic Radiology13
Urology7
Pathology2
Interventional Radiology1
Obstetrics/Gynecology1
Radiation Oncology1

Nearest to this location (20)

See all 25
Urology
NPI 1275633364
25495 MEDICAL CENTER DR STE 204
Murrieta, CA 92562
(951) 698-1901
✔ PECOSSame address
Urology
NPI 1417057514
25495 MEDICAL CENTER DR STE 204
Murrieta, CA 92562
(951) 698-1901
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1972747988
25495 MEDICAL CENTER DR STE 204
Murrieta, CA 92562
(951) 698-1901
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1558715268
25495 MEDICAL CENTER DR STE 204
Murrieta, CA 92562
(951) 698-1901
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1386022382
25495 MEDICAL CENTER DR STE 204
Murrieta, CA 92562
(951) 698-1901
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1750359907
25495 MEDICAL CENTER DR STE 204
Murrieta, CA 92562
(951) 698-1901
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1932209319
25495 MEDICAL CENTER DR SUITE 204
Murrieta, CA 92562
(951) 698-1901
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1568691830
36320 INLAND VALLEY DR STE 105
Wildomar, CA 92595
(951) 468-8588
✔ PECOS✔ Accepts Medicare3.9 mi
Pathology
NPI 1598976680
4060 WHITTIER BLVD
Los Angeles, CA 90023
(323) 260-4184
✔ PECOS✔ Accepts Medicare66 mi
Diagnostic Radiology
NPI 1801992813
26915 N 162ND ST
Scottsdale, AZ 85262
(952) 595-1100
✔ PECOS315 mi
Diagnostic Radiology
NPI 1881030997
718 POPLAR DR
Bellingham, WA 98226
(833) 228-6889
✔ PECOS1,084 mi
Diagnostic Radiology
NPI 1457313314
17310 WRIGHT ST STE 103
Omaha, NE 68130
(833) 228-6889
✔ PECOS1,266 mi
Diagnostic Radiology
NPI 1871555649
17310 WRIGHT ST STE 103
Omaha, NE 68130
(833) 228-6889
✔ PECOS1,266 mi
Interventional Radiology
NPI 1871545269
17310 WRIGHT ST STE 103
Omaha, NE 68130
(833) 228-6889
✔ PECOS1,266 mi
Diagnostic Radiology
NPI 1891040689
17310 WRIGHT ST STE 103
Omaha, NE 68130
(833) 228-6889
✔ PECOS1,266 mi
Diagnostic Radiology
NPI 1811159296
17310 WRIGHT ST STE 103
Omaha, NE 68130
(833) 228-6889
✔ PECOS1,266 mi
Diagnostic Radiology
NPI 1801175401
1 HOSPITAL DR # DC018.00
Columbia, MO 65201
(573) 884-5697
✔ PECOS1,439 mi
Pathology
NPI 1235398637
3495 HACKS CROSS RD
Memphis, TN 38125
(901) 526-7444
✔ PECOS✔ Accepts Medicare1,565 mi
Urology
NPI 1083631063
442 WEST HIGH STREET MIDWEST COMMUNITY HEALTH ASSOCIATES
Bryan, OH 43506
(419) 636-4517
✔ PECOS1,861 mi
Diagnostic Radiology
NPI 1740252725
2252 JOLLAY ST
Durham, NC 27703
(833) 228-6889
✔ PECOS2,173 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 · Sep 30, 2026
CLIA Number05D0963284
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2023
Certificate Expiration DateSeptember 30, 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.

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 Medical Group's NPI number?

The NPI number for Tri Valley Urology Medical Group is 1659471746. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Tri Valley Urology Medical Group located?

Tri Valley Urology Medical Group is located at 25495 Medical Center Dr 204, Murrieta, CA 92562. The listed phone number is (951) 698-1901.

What is Tri Valley Urology Medical Group's specialty?

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

Is Tri Valley Urology Medical Group enrolled in Medicare?

Yes. Tri Valley Urology Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri Valley Urology Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 6 Medicare specialties reassign their Medicare billing to Tri Valley Urology Medical Group. 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. The largest specialties are Diagnostic Radiology (13), Urology (7) and Pathology (2). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tri Valley Urology Medical Group accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 25 other insurers list Tri Valley Urology Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri Valley Urology Medical Group 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 5 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.