NPIMap

Organization Active NPI

Urology Associates of Central California Medical Group Inc

  • Urology Physician
  • Fresno, CA
National Provider Identifier
1194720722
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
FNP21026 Issued in CA
Legal business name
UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC
Practice address
7014 N Whitney Ave
Fresno, CA 93720-0155
Phone
(559) 321-2800
Fax
(559) 321-2780
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Dr. Kuldip JBS Behniwal, M.D.NPI 1356346365
Title
Authorized Official
Phone
(559) 321-2803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X FNP21026 CA Primary

Addresses

Primary practice location

7014 N Whitney Ave
Fresno, CA 93720-0155

Mailing address

7014 N Whitney Ave
Ste a
Fresno, CA 93720-0155
Phone (559) 321-2800

Other practice location 1

7014 N Whitney Ave
Ste A
Fresno, CA 93720-0155
Phone (559) 321-2898

Other identifiers 1

IdentifierTypeStateIssuer
GR0081620MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001415 CA Part B Supplier - Clinic/Group Practice 8820068489 Receives reassigned benefits from 12 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

7014 N Whitney Ave
Ste A
Fresno, CA 93720
Phone (559) 321-2800

7014 N Whitney Ave
Fresno, CA 93720
Phone (559) 321-2800

7467 N Cedar Ave
Fresno, CA 93720
Phone (559) 321-2800

Practitioners & affiliated clinicians

Practitioners 12

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": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1194720722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE",
            "address_2": "STE A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2800",
            "fax_number": "559-321-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2800",
            "fax_number": "559-321-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7014 N Whitney Ave",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200155",
            "country_code": "US",
            "telephone_number": "559-321-2898",
            "fax_number": "559-321-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "BEHNIWAL",
        "authorized_official_first_name": "KULDIP",
        "authorized_official_middle_name": "JBS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "559-321-2803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "FNP21026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.

Verify at the official NPI Registry.