Organization Active NPI

San Gabriel Valley Urology Group, a Medical Corporation

  • Urology Physician
  • Alhambra, CA
National Provider Identifier
1104249002
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A89398 Issued in CA
Legal business name
SAN GABRIEL VALLEY UROLOGY GROUP, A MEDICAL CORPORATION
Practice address
1048 S Garfield Ave
Suite 200
Alhambra, CA 91801-4768
Phone
(626) 281-8288
Fax
(626) 458-6400
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Eric Kau, M.D.
Title
President
Phone
(646) 229-5597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X A89398 CA Primary

Addresses

Primary practice location

1048 S Garfield Ave
Suite 200
Alhambra, CA 91801-4768

Mailing address

1048 S Garfield Ave
Suite 200
Alhambra, CA 91801-4768
Phone (626) 281-8288

Other names 1

  • San Gabriel Valley Urology Group Doing business as

National Provider Directory

National Provider Directory

Locations

1048 S Garfield Ave
Ste 200
Alhambra, CA 91801
Phone (626) 281-8288

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1104249002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 S GARFIELD AVE",
            "address_2": "SUITE 200",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014768",
            "telephone_number": "626-281-8288",
            "fax_number": "626-458-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 S GARFIELD AVE",
            "address_2": "SUITE 200",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014768",
            "telephone_number": "626-281-8288",
            "fax_number": "626-458-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL VALLEY UROLOGY GROUP, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "KAU",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-229-5597",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A89398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Gabriel Valley Urology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.