Individual provider Active NPI

John Nicholas Ivancovich Cabri, MD

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1528695491
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A179199 Issued in CA
Practice address
10833 Le Conte Ave
CHS 27-139
Los Angeles, CA 90095
Phone
(310) 825-9945
NPI assigned
Mar 23, 2020
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A179199 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
CHS 27-139
Los Angeles, CA 90095

Mailing address

10833 Le Conte Ave
CHS 27-139
Los Angeles, CA 90095
Phone (310) 825-9945

Other practice location 1

225 Prado Rd Ste D
San Luis Obispo, CA 93401-7363
Phone (805) 786-2500 ext. 1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105000735 CA Practitioner - Urology 9234541178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Geffen School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A179199CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of the Central Coast Urology CurrentSince Sep 25, 2025 Accepting new patients
Urology Associates of the Central Coast Urology CurrentSince Sep 25, 2025 Accepting new patients

Locations

921 Oak Park Blvd
Ste 202
Pismo Beach, CA 93449
Phone (805) 473-7818

35 Casa St
Ste 370
San Luis Obispo, CA 93405
Phone (805) 541-1111

225 Prado Rd
Ste D
Sn Luis Obisp, CA 93401
Phone 8057862500 ext. 1021

1310 Las Tablas Rd
Ste 201
Templeton, CA 93465
Phone (805) 434-1408

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c3d5f6c-4d59-4a7f-9170-c96c3d9e561c/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1528695491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "CHS 27-139",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "CHS 27-139",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-9945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Prado Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017363",
            "country_code": "US",
            "telephone_number": "805-786-2500 x1021",
            "fax_number": "805-781-0423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRI",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS IVANCOVICH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A179199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.