Active NPI
Southern California Urology Medical Group
- Urology Physician
- Lakewood, CA
National Provider Identifier
1730013764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- SOUTHERN CALIFORNIA UROLOGY MEDICAL GROUP
- Practice address
- 3650 South St Ste 408
Lakewood, CA 90712-1510 - Phone
- (562) 630-0423
- Fax
- (562) 630-0660
- NPI assigned
- Jun 12, 2026
- 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
- Jonathan Edward Perley, MD
- Title
- Medical Director
- Phone
- (562) 355-6629
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
3650 South St Ste 408
Lakewood, CA 90712-1510
Mailing address
3650 South St Ste 408
Lakewood, CA 90712-1510
Phone (562) 630-0423
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Lakewood, CA
- NPI 1326017831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1730013764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 SOUTH ST STE 408",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121510",
"telephone_number": "562-630-0423",
"fax_number": "562-630-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 SOUTH ST STE 408",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121510",
"telephone_number": "562-630-0423",
"fax_number": "562-630-0660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CALIFORNIA UROLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "PERLEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "562-355-6629",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CA
- Source Mobility Incorporated
- South Cerritos Medical Group, Inc.
- South Coast Heart & Vascular a Medical Group Inc
- South Coast Physical Therapy
- Southern California Immediate Medical Center
- Sowing Seeds Behavioral Services LLC
- Kristen Spence, MSW CANDIDATE
- Spencer Sterling DPM
- Stacy Springmeyer, PSYD
- St. Jude Hospital Yorba Linda
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.