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ROSEVILLE UROLOGY, INC.
NPI 1871822072
Urology in Roseville, CA

Active since December 17, 2009CLIA 05D2152459 · Microscopy
5 MEDICAL PLAZA DR, SUITE 250, ROSEVILLE, CA 95661(916) 782-2229(916) 797-9414 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roseville Urology, Inc. NPPES

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

ROSEVILLE UROLOGY, INC. (NPI 1871822072) is a healthcare organization registered as an urology in Roseville, California and active in the NPI registry since December 2009. The organization holds a CLIA Microscopy certificate valid through August 8, 2026 and lists David Raymond Couillard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871822072
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameROSEVILLE UROLOGY, INC.
Location Address5 MEDICAL PLAZA DR, SUITE 250Roseville, CA 95661-2865
Mailing Address7936 Indian Springs WayOrangevale, CA 95662 · (916) 768-3290
Phone(916) 782-2229
Fax(916) 797-9414
Organization SubpartNo
Authorized OfficialDavid Raymond CouillardCeo · (916) 768-3290
Enumeration DateDecember 17, 2009
✔ NPI 1871822072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · G68651
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.
5 MEDICAL PLAZA DR, Roseville, CA 95661
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Other Identifiers 2

Medicare UPINF38442CA
Medicare PIN00G68651CA

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) 05D2152459

Roseville Urology, Inc. · Roseville, CA
Active · expires Aug 8, 2026
CLIA Number05D2152459
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDavid R. Couillard, MD
Laboratory Phone(916) 251-3063
Laboratory LocationRoseville Urology, Inc.584 N Sunrise Ave Ste 100, Roseville, CA 95661
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 20

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

MARSHA J MONTBRIAND NURSE PRACTITIONER
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
CATHERINE E TAYLOR NURSE PRACTITIONER
Nurse Practitioner (Obstetrics & Gynecology)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
ANTOINETTE T KHOWONG MEDICAL DOCTOR
Obstetrics & Gynecology (Obstetrics)
5 MEDICAL PLAZA DR, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 782-2229
VITREO-RETINAL MEDICAL GROUP, INC
Ophthalmology
5 MEDICAL PLAZA DR, SUITE 180
ROSEVILLE, CA 95661
Placer County (916) 454-4861
BRENT EDWARD VANHOOZEN M.D.
Internal Medicine (Pulmonary Disease)
5 MEDICAL PLAZA DR, SUITE 190
ROSEVILLE, CA 95661
Placer County (916) 786-7498
RHONDA LYNN LEE FNP
Nurse Practitioner (Family)
5 MEDICAL PLAZA DR, #210
ROSEVILLE, CA 95661
Placer County (916) 780-5477
LORNA ADOLFO, A PROFESSIONAL MEDICAL CORPORATION
Internal Medicine
5 MEDICAL PLAZA DR, STE# 110
ROSEVILLE, CA 95661
Placer County (916) 784-8070
W RANDY MARTIN M.D.
Internal Medicine (Pulmonary Disease)
5 MEDICAL PLAZA DR, SUITE 190
ROSEVILLE, CA 95661
Placer County (916) 786-7498

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 Roseville Urology, Inc.'s NPI number?

The NPI number for Roseville Urology, Inc. is 1871822072. It was assigned to this organization in the NPPES registry on December 17, 2009.

Where is Roseville Urology, Inc. located?

Roseville Urology, Inc. is located at 5 Medical Plaza Dr Suite 250, Roseville, CA 95661. The listed phone number is (916) 782-2229.

What is Roseville Urology, Inc.'s specialty?

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

Does Roseville Urology, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2152459) is associated with this NPI, valid through August 8, 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 Roseville Urology, Inc. was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.