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WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC.
NPI 1891836482
Specialist in San Pablo, CA

Active since February 08, 2007CLIA 05D0603883 · Waiver
2089 VALE RD, SUITE 25, SAN PABLO, CA 94806(510) 235-1137(510) 232-5929 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2023, May 12, 2023, Jul 21, 2022 (3 updates tracked since 2022).

About West Contra Costa Urological Surgery Medical Group Inc. NPPES

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

WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC. (NPI 1891836482) is a healthcare organization registered as a specialist in San Pablo, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Mark Silvert, President, as its authorized official.

NPPES Registry Identity

NPI1891836482
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC.
Location Address2089 VALE RD, SUITE 25San Pablo, CA 94806-3847
Mailing Address2089 Vale Rd, Suite 25San Pablo, CA 94806-3847 · (510) 235-1137 · Fax (510) 232-5929
Phone(510) 235-1137
Fax(510) 232-5929
Organization SubpartNo
Authorized OfficialMark SilvertPresident · (510) 235-1137
Enumeration DateFebruary 8, 2007
Last NPPES UpdateMay 17, 20233 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1891836482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
2089 VALE RD, San Pablo, CA 94806
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Other Identifiers 2

Medicaid1811038490CA
Medicaid1268833426CA

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 05D0603883

West Contra Costa Urological Surg Med Grp, Inc · San Pablo, CA
Active · expires Dec 22, 2027
CLIA Number05D0603883
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorMark Silvert, MD
Laboratory Phone(510) 235-1137
Laboratory LocationWest Contra Costa Urological Surg Med Grp, Inc2089 Vale Rd 25, San Pablo, CA 94806
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

DR. TERESA MARIE VAN WOY DPM
Podiatrist (Primary Podiatric Medicine)
2089 VALE RD, 12
SAN PABLO, CA 94806
Contra Costa County (510) 232-0892
DR. KHOSROW AFSARI FACP MD
Internal Medicine
2089 VALE RD, #21
SAN PABLO, CA 94806
Contra Costa County (510) 232-9065
WILLIAM ALBERT VAN DYK DDS
Dentist (General Practice)
2089 VALE RD, SUITE 30
SAN PABLO, CA 94806
Contra Costa County (510) 236-1662
ROBERT G. CLARK M.D.
Family Medicine
2089 VALE RD, SUITE 17
SAN PABLO, CA 94806
Contra Costa County (510) 237-2802
MARK SILVERT MD
Specialist
2089 VALE RD, SUITE 25
SAN PABLO, CA 94806
Contra Costa County (510) 235-1137
DR. JACQUELINE JEEYUNG PARK M.D.
Internal Medicine (Gastroenterology)
2089 VALE RD, SUITE 33
SAN PABLO, CA 94806
Contra Costa County (510) 234-5012
DR. MAHSA JABERIANSARI DDS
Dentist (General Practice)
2089 VALE RD, SUITE 15 AND 16
SAN PABLO, CA 94806
Contra Costa County (415) 746-9412
RAYNATO OCAMPO CASTRO JR. D.D.S.
Dentist (General Practice)
2089 VALE RD, STE 30
SAN PABLO, CA 94806
Contra Costa County (510) 236-1662

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 West Contra Costa Urological Surgery Medical Group Inc.'s NPI number?

The NPI number for West Contra Costa Urological Surgery Medical Group Inc. is 1891836482. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is West Contra Costa Urological Surgery Medical Group Inc. located?

West Contra Costa Urological Surgery Medical Group Inc. is located at 2089 Vale Rd Suite 25, San Pablo, CA 94806. The listed phone number is (510) 235-1137.

What is West Contra Costa Urological Surgery Medical Group Inc.'s specialty?

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

Does West Contra Costa Urological Surgery Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0603883) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Contra Costa Urological Surgery Medical Group Inc. was last updated on May 17, 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.