Organization Active NPI

Urology Institute of the South Bay

  • Specialist
  • Torrance, CA
National Provider Identifier
1053329540
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UROLOGY INSTITUTE OF THE SOUTH BAY
Practice address
23600 Telo Ave # 220
Torrance, CA 90505-4035
Phone
(310) 534-8400
Fax
(310) 534-0463
NPI assigned
Aug 3, 2006
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SKYLINE UROLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Sharon Nakazawa, R.N.
Title
Manager
Phone
(310) 534-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

23600 Telo Ave # 220
Torrance, CA 90505-4035

Mailing address

23600 Telo Ave # 220
Torrance, CA 90505-4035
Phone (310) 534-8400

Other identifiers 1

IdentifierTypeStateIssuer
W11165OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory
Part of
Skyline Urology

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35366_urologyspecialtygroup

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1053329540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE # 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054035",
            "telephone_number": "310-534-8400",
            "fax_number": "310-534-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE # 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054035",
            "telephone_number": "310-534-8400",
            "fax_number": "310-534-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY INSTITUTE OF THE SOUTH BAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKYLINE UROLOGY",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "NAKAZAWA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-534-8400",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W11165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.