CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP.
NPI 1679629968
Urology in Castro Valley, CA

Q: What is Chabot Urology Medical Associates, A Professional Corp.'s specialty?

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

Active since January 27, 2007CLIA 05D2016786 · Waiver

20055 LAKE CHABOT RD STE 310, CASTRO VALLEY, CA 94546(510) 889-9166 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Jul 13, 2022, Nov 8, 2021 and 1 more (4 updates tracked since 2020).

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About Chabot Urology Medical Associates, A Professional Corp. NPPES

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

CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP. (NPI 1679629968) is a healthcare organization registered as an urology in Castro Valley, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Sourjya Prakash Misra, President, as its authorized official.

NPPES Registry Identity

NPI1679629968

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameCHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP.

Location Address20055 LAKE CHABOT RD STE 310Castro Valley, CA 94546-5334

Mailing Address20055 Lake Chabot Rd Ste 310Castro Valley, CA 94546-5334 · (510) 889-9166

Phone(510) 889-9166

Organization SubpartNo

Authorized OfficialSourjya Prakash MisraPresident · (510) 889-9166

Enumeration DateJanuary 27, 2007

Last NPPES UpdateJuly 11, 20234 updates tracked since enumeration

NPPES CertifiedJuly 11, 2023

✔ NPI 1679629968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A49141

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.

20055 LAKE CHABOT RD STE 310, Castro Valley, CA 94546

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Other Names 3

Doing Business AsChabot Urology Medical Associates, A Professional Corp.

Doing Business AsChabot Urology Medcal Associates, A Professional Corp.

Doing Business AsChabot Urology Medical Associates , A Professional Corporation

Other Identifiers 1

MedicaidE85288CA

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 Waiver 05D2016786

Chabot Urology Medical Associates · Castro Valley, CA

Active · expires Nov 23, 2026

CLIA Number05D2016786

Laboratory TypePhysician Office

Certificate Effective DateNovember 24, 2024

Certificate Expiration DateNovember 23, 2026

Laboratory DirectorSourjya P. Misra

Laboratory Phone(510) 889-9166

Laboratory LocationChabot Urology Medical Associates20055 Lake Chabot Rd Suite 310, Castro Valley, CA 94546

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SOURJYA P. MISRA M.D.

Urology

20055 LAKE CHABOT RD STE 310
CASTRO VALLEY, CA 94546

Alameda County (510) 889-9166

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 Chabot Urology Medical Associates, A Professional Corp.'s NPI number?

The NPI number for Chabot Urology Medical Associates, A Professional Corp. is 1679629968. It was assigned to this organization in the NPPES registry on January 27, 2007. The provider is doing business as Chabot Urology Medcal Associates, A Professional Corp. and Chabot Urology Medical Associates , A Professional Corporation.

Where is Chabot Urology Medical Associates, A Professional Corp. located?

Chabot Urology Medical Associates, A Professional Corp. is located at 20055 Lake Chabot Rd Ste 310, Castro Valley, CA 94546. The listed phone number is (510) 889-9166.

What is Chabot Urology Medical Associates, A Professional Corp.'s specialty?

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

Does Chabot Urology Medical Associates, A Professional Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2016786) is associated with this NPI, valid through November 23, 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 Chabot Urology Medical Associates, A Professional Corp. was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.