Covina Valley Urologic Medical Group, Inc.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

Legal business name

COVINA VALLEY UROLOGIC MEDICAL GROUP, INC.

Practice address

421 E Merced Ave
West Covina, CA 91790-5023

Phone

(626) 918-1881

Fax

(626) 918-3618

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sung M Choe, M.D.NPI 1326041427

Title

President

Phone

(626) 918-1881

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: johnlee@cvumg.medalliesdirect.net
• Direct secure messaging: sungchoe@cvumg.medalliesdirect.net

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sung M Choe, M.D.

  • Pediatric Urology Physician
  • West Covina, CA
  • NPI 1326041427
  Medicare reassignment Care Compare group Authorized official
• John Young Lee, M.D.

  • Urology Physician
  • West Covina, CA
  • NPI 1568648608
  Medicare reassignment Care Compare group NPD
• Christina Co, PA-C

  • Student in an Organized Health Care Education/Training Program
  • San Gabriel, CA
  • NPI 1538946108
  Medicare reassignment Care Compare group
• Christine Taufik

  • Physician Assistant
  • Sun City, CA
  • NPI 1134845563
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1407812332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905023",
            "telephone_number": "626-918-1881",
            "fax_number": "626-918-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905023",
            "telephone_number": "626-918-1881",
            "fax_number": "626-918-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINA VALLEY UROLOGIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-918-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G604841",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G604840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Coulter
• Yessenia Michelle Covarrubias Vazquez
• Gabriela Covarrubias
• Katherine Covarrubias
• Covina CLHF Corporation
• Pamela Cox
• Adam Coy
• Donna Jane Craig, MA MFT
• William S. Crawford, D.D.S.
• Tasha Cronin

• Pediatric Urology Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Pediatric Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.