Active NPI
Urological Associates of San Diego, a Medical Corporation
- Urology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGICAL ASSOCIATES OF SAN DIEGO, A MEDICAL CORPORATION
- Practice address
- 3969 4TH Ave
Suite 202
San Diego, CA 92103-3165 - Phone
- (619) 260-0060
- Fax
- (619) 260-0460
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marianne G. Rochester, M.D.
- Title
- President
- Phone
- (619) 260-0060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
3969 4TH Ave
Suite 202
San Diego, CA 92103-3165
Mailing address
3969 4TH Ave
Suite 202
San Diego, CA 92103-3165
Phone (619) 260-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0100000 | Medicaid | CA |
Other names 1
- Premier Urology Associates
National Provider Directory
National Provider DirectoryLocations
752 Medical Center Ct
Ste 302
Chula Vista, CA 91911
Phone (619) 397-4500
5565 Grossmont Center Dr
Ste 358
La Mesa, CA 91942
Phone (619) 465-1816
8875 La Mesa Blvd
Ste 501A
La Mesa, CA 91942
3969 4th Ave
Ste 402
San Diego, CA 92103
3969 4th Ave
San Diego, CA 92103
Phone (619) 291-6191
3969 4th Ave
Ste 202
San Diego, CA 92103
Phone (619) 260-0060
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Escondido, CA
- NPI 1841392552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280188800000",
"number": "1164537775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3969 4TH AVE",
"address_2": "SUITE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033165",
"telephone_number": "619-260-0060",
"fax_number": "619-260-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3969 4TH AVE",
"address_2": "SUITE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033165",
"telephone_number": "619-260-0060",
"fax_number": "619-260-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGICAL ASSOCIATES OF SAN DIEGO, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2010-07-27",
"status": "A",
"authorized_official_last_name": "ROCHESTER",
"authorized_official_first_name": "MARIANNE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-260-0060",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0100000",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Urology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.