AEVUM PERFORMANCE & UROLOGY
NPI 1891652129
Urology in Los Angeles, CA

Active since January 08, 2026
11620 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90025(310) 876-5649 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2026, Jan 8, 2026 (2 updates tracked since 2026).

About Aevum Performance & Urology NPPES

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

AEVUM PERFORMANCE & UROLOGY (NPI 1891652129) is a healthcare organization registered as an urology in Los Angeles, California and active in the NPI registry since January 2026. The organization lists Audley Osbourne, Ceo/lead Physician, as its authorized official.

NPPES Registry Identity

NPI1891652129
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameAEVUM PERFORMANCE & UROLOGY
Location Address11620 WILSHIRE BLVD STE 600Los Angeles, CA 90025-1776
Mailing Address11620 Wilshire Blvd Ste 600Los Angeles, CA 90025-1776 · (310) 876-5649
Organization SubpartNo
Authorized OfficialAudley OsbourneCeo/lead Physician · (347) 564-7818
Enumeration DateJanuary 8, 2026
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1891652129 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.
11620 WILSHIRE BLVD STE 600, Los Angeles, CA 90025

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)

Aevum Performance & Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aevum Performance & Urology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1992900062
11620 WILSHIRE BLVD STE 600
Los Angeles, CA 90025
(310) 876-5649
✔ PECOS✔ Accepts MedicareSame address

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 Aevum Performance & Urology's NPI number?

The NPI number for Aevum Performance & Urology is 1891652129. It was assigned to this organization in the NPPES registry on January 8, 2026.

Where is Aevum Performance & Urology located?

Aevum Performance & Urology is located at 11620 Wilshire Blvd Ste 600, Los Angeles, CA 90025. The listed phone number is (310) 876-5649.

What is Aevum Performance & Urology's specialty?

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

Is Aevum Performance & Urology enrolled in Medicare?

Yes. Aevum Performance & Urology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aevum Performance & Urology?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Aevum Performance & 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aevum Performance & Urology was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.