Organization Active NPI

Urological Surgeons of Northern California

  • Urology Physician
  • San Jose, CA
National Provider Identifier
1003118290
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA
Practice address
123 Di Salvo Ave
Suite D
San Jose, CA 95128-1717
Phone
(408) 294-9000
Fax
(408) 294-9004
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David HC King, MD
Title
President
Phone
(408) 866-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

123 Di Salvo Ave
Suite D
San Jose, CA 95128-1717

Mailing address

PO Box 6971
Lincoln, NE 68506-0971
Phone (402) 486-7006

National Provider Directory

National Provider Directory

Locations

2101 Forest Ave
Ste 132
San Jose, CA 95128
Phone (408) 294-9000

123 Di Salvo Ave
Ste D
San Jose, CA 95128
Phone (408) 279-0742

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1003118290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6971",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060971",
            "telephone_number": "402-486-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DI SALVO AVE",
            "address_2": "SUITE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281717",
            "telephone_number": "408-294-9000",
            "fax_number": "408-294-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL SURGEONS OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-866-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.