Active NPI
Javidan Urology, Inc
- Urology Physician
- Roseville, CA
National Provider Identifier
1174043129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A83658
- Legal business name
- JAVIDAN UROLOGY, INC
- Practice address
- 729 Sunrise Ave Ste 200
Roseville, CA 95661-4504 - Phone
- (916) 245-2444
- Fax
- (916) 245-2441
- NPI assigned
- Jun 21, 2017
- 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
- Sveta Aslanyan
- Title
- Manager
- Phone
- (916) 947-0967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A83658 | CA | Primary |
Addresses
Primary practice location
729 Sunrise Ave Ste 200
Roseville, CA 95661-4504
Mailing address
729 Sunrise Ave Ste 200
Roseville, CA 95661-4504
Phone (916) 245-2444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679558605 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2360 E Bidwell St
Folsom, CA 95630
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Roseville, CA
- NPI 1457462319
-
- Urology Physician
- Folsom, CA
- NPI 1932603222
-
- Urology Physician
- Carmichael, CA
- NPI 1679558605
-
- Physician Assistant
- Sacramento, CA
- NPI 1679251714
-
- Physician Assistant
- Carmichael, CA
- NPI 1780208603
-
- Urology Physician
- Newport Beach, CA
- NPI 1174718399
-
- Physician Assistant
- Elk Grove, CA
- NPI 1265099360
-
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
- NPI 1215300645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1174043129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614504",
"telephone_number": "916-245-2444",
"fax_number": "916-245-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 SUNRISE AVE STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614504",
"telephone_number": "916-245-2444",
"fax_number": "916-245-2441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAVIDAN UROLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ASLANYAN",
"authorized_official_first_name": "SVETA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "916-947-0967"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "A83658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679558605",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.