NPIMap

Organization Active NPI

The Urology Center of Southern California Medical Group ,Inc.

  • Urology Physician
  • Irvine, CA
National Provider Identifier
1396061875
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
THE UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP ,INC.
Practice address
15775 Laguna Canyon Road
#200
Irvine, CA 92618
Phone
(951) 735-2700
NPI assigned
Apr 9, 2010
Last updated
Apr 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Dr. Bruce Houman
Title
Ceo
Phone
(951) 735-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

15775 Laguna Canyon Road
#200
Irvine, CA 92618

Mailing address

1820 Fullerton Ave
#260
Corona, CA 92881-3101

National Provider Directory

National Provider Directory
Tax ID family
Urology Center of So Calif Medical Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15775 Laguna Canyon Rd
Ste 200
Irvine, CA 92618
Phone (888) 827-7383

14642 Newport Ave
Ste 470
Tustin, CA 92780
Phone (714) 573-9500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1396061875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE",
            "address_2": "#260",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON ROAD",
            "address_2": "#200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "951-735-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "HOUMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-735-2700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.