NPIMap

Organization Active NPI

Richmond Urological Medical Group,Inc

  • Urology Physician
  • Pinole, CA
National Provider Identifier
1588688154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G8290 Issued in CA
Legal business name
RICHMOND UROLOGICAL MEDICAL GROUP,INC
Practice address
1430 Tara Hills Dr Ste a
Pinole, CA 94564-2512
Phone
(510) 724-1500
Fax
(510) 724-2265
NPI assigned
Jul 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Michael H Brown, M.D.NPI 1235143314
Title
Owner
Phone
(510) 724-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X G8290 CA Primary

Addresses

Primary practice location

1430 Tara Hills Dr Ste a
Pinole, CA 94564-2512

Mailing address

1430 Tara Hills Dr Ste a
Pinole, CA 94564-2512
Phone (510) 724-1500

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ70211ZMedicaidCA
000G82900MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588688154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR STE A",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642512",
            "telephone_number": "510-724-1500",
            "fax_number": "510-724-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR STE A",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642512",
            "telephone_number": "510-724-1500",
            "fax_number": "510-724-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND UROLOGICAL MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-724-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G8290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70211Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G82900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, 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.