COMPREHENSIVE UROLOGY MEDICAL GROUP
NPI 1760406250
Specialist in Los Angeles, CA

Active since July 27, 2006CLIA 05D2160862 · Certificate of Compliance
8631 W 3RD ST STE 1115E, LOS ANGELES, CA 90048(310) 278-8330(310) 278-7595 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Dec 15, 2020 (2 updates tracked since 2020).

About Comprehensive Urology Medical Group NPPES

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

COMPREHENSIVE UROLOGY MEDICAL GROUP (NPI 1760406250) is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026, maintains a secondary practice location in Los Angeles, and lists Kiarash Michel, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1760406250
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOMPREHENSIVE UROLOGY MEDICAL GROUP
Location Address8631 W 3RD ST STE 1115ELos Angeles, CA 90048-5901
Mailing Address8631 W 3rd St Ste 1115eLos Angeles, CA 90048-5901 · (310) 278-8330 · Fax (310) 278-7595
Fax(310) 278-7595
Organization SubpartYesParent: Comprehensive Urology
Authorized OfficialKiarash MichelManaging Partner · (310) 278-8330
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1760406250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G183300
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8631 W 3RD ST STE 1115E, Los Angeles, CA 90048

Secondary Practice Location 1

Location 18631 W. Third Street, Suite# 715Los Angeles, CA 90048-5901 · Phone (310) 278-8330 · Fax (310) 278-7595

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)

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

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Comprehensive Urology Medical Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Urology9
Diagnostic Radiology2
Interventional Radiology1
Pathology1

Clinicians, nearest first (13)

Urology
NPI 1255390464
8631 W 3RD ST STE 1115
Los Angeles, CA 90048
(310) 278-8330
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1891289245
8631 W 3RD ST STE 1115E
Los Angeles, CA 90048
(310) 278-8330
✔ PECOSSame address
Urology
NPI 1790957504
8631 W 3RD ST SUITE 715E
Los Angeles, CA 90048
(310) 278-8330
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1578522785
8631 W 3RD ST STE 715 EAST
Los Angeles, CA 90048
(310) 278-8330
✔ PECOSSame address
Urology
NPI 1154632602
8635 W 3RD ST STE
Los Angeles, CA 90048
(310) 423-4700
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1558621078
757 WESTWOOD PLZ
Los Angeles, CA 90095
(310) 825-6301
✔ PECOS✔ Accepts Medicare3.8 mi
Urology
NPI 1922487800
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
(310) 582-7137
✔ PECOS6.4 mi
Urology
NPI 1689666307
2021 SANTA MONICA BLVD 510E
Santa Monica, CA 90404
(310) 828-8531
✔ PECOS✔ Accepts Medicare6.5 mi
Urology
NPI 1013948959
2 UPPER RAGSDALE DR BLDG A
Monterey, CA 93940
(831) 333-3040
✔ PECOS✔ Accepts Medicare260 mi
Interventional Radiology
NPI 1760638282
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 496-5266
✔ PECOS✔ Accepts Medicare821 mi
Diagnostic Radiology
NPI 1861796948
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 494-7660
✔ PECOS✔ Accepts Medicare821 mi
Urology
NPI 1457645772
1100 9TH AVE
Seattle, WA 98101
(206) 223-6772
✔ PECOS✔ Accepts Medicare956 mi
Pathology
NPI 1831376243
1351 BARCLAY BLVD
Buffalo Grove, IL 60089
(224) 588-9940
✔ PECOS1,740 mi

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 05D2160862

Comprehensive Urology Medical Group · Los Angeles, CA
Active · expires Nov 30, 2026
CLIA Number05D2160862
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2023
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorYousef Tadros
Laboratory Phone(310) 278-8330
Laboratory LocationComprehensive Urology Medical Group8631 W 3rd St, Ste 1115E, Los Angeles, CA 90048
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 Comprehensive Urology Medical Group's NPI number?

The NPI number for Comprehensive Urology Medical Group is 1760406250. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Comprehensive Urology Medical Group located?

Comprehensive Urology Medical Group is located at 8631 W 3rd St Ste 1115E, Los Angeles, CA 90048. The listed phone number is (310) 278-8330.

What is Comprehensive Urology Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Comprehensive Urology Medical Group enrolled in Medicare?

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

How many clinicians bill Medicare through Comprehensive Urology Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Comprehensive 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 Urology (9), Diagnostic Radiology (2) and Interventional Radiology (1). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Comprehensive Urology Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2160862) is associated with this NPI, valid through November 30, 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 Comprehensive Urology Medical Group was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.