Active NPI
Norcal Urology Medical Group Inc
- Urology Physician
- San Ramon, CA
National Provider Identifier
1447447446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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 DirectoryLocations
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.