Organization Active NPI

Norcal Urology Medical Group Inc

  • Urology Physician
  • San Ramon, CA
National Provider Identifier
1447447446
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NORCAL UROLOGY MEDICAL GROUP INC
Practice address
5201 Norris Canyon Rd
Suite 230
San Ramon, CA 94583-5411
Phone
(925) 866-2100
Fax
(510) 866-6612
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Mr. Paul F Devivo
Title
Administrator
Phone
(510) 465-5800

Specialties & licenses 1

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

Addresses

Primary practice location

5201 Norris Canyon Rd
Suite 230
San Ramon, CA 94583-5411

Mailing address

3300 Webster St
Suite 710
Oakland, CA 94609-3117
Phone (510) 465-5800

National Provider Directory

National Provider Directory

Locations

5201 Norris Canyon Rd
#21
San Ramon, CA 94583
Phone (925) 866-2100

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1447447446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 710",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-465-5800",
            "fax_number": "510-839-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORRIS CANYON RD",
            "address_2": "SUITE 230",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835411",
            "telephone_number": "925-866-2100",
            "fax_number": "510-866-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCAL UROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "DEVIVO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-465-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.