Organization Active NPI

North State Urology Medical Assoc Inc

  • Urology Physician
  • Oroville, CA
National Provider Identifier
1538297619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G708680 Issued in CA
Legal business name
NORTH STATE UROLOGY MEDICAL ASSOC INC
Doing business as
Gregory S Land MD
Practice address
2971 Olive Hwy
Oroville, CA 95966
Phone
(530) 534-6300
Fax
(530) 534-6534
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gregory Scott Lang, MD
Title
Owner President
Phone
(530) 534-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X G708680 CA Primary

Addresses

Primary practice location

2971 Olive Hwy
Oroville, CA 95966

Mailing address

2971 Olive Hwy
Oroville, CA 95966
Phone (530) 534-6300

Other identifiers 1

IdentifierTypeStateIssuer
00G708680MedicaidCA

Other names 1

  • Gregory S Land MD Doing business as

National Provider Directory

National Provider Directory

Locations

6283 Clark Rd
Ste 3
Paradise, CA 95969
Phone (530) 872-0220

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538297619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 OLIVE HWY",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95966",
            "telephone_number": "530-534-6300",
            "fax_number": "530-534-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 OLIVE HWY",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95966",
            "telephone_number": "530-534-6300",
            "fax_number": "530-534-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE UROLOGY MEDICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "530-534-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G708680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G708680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory S Land MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.