Organization Active NPI

San Diego Urological Medical Group

  • Urology Physician
  • La Mesa, CA
National Provider Identifier
1801968730
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SAN DIEGO UROLOGICAL MEDICAL GROUP
Practice address
8851 Center Dr
Ste 501
La Mesa, CA 91942-3058
Phone
(619) 697-2456
Fax
(619) 697-2494
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Dalton Howard Lowe, M.D.
Title
President, Ceo & Owner
Phone
(619) 697-2456

Specialties & licenses 1

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

Addresses

Primary practice location

8851 Center Dr
Ste 501
La Mesa, CA 91942-3058

Mailing address

8851 Center Dr
Ste 501
La Mesa, CA 91942-3058
Phone (619) 697-2456

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ49499ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

8875 La Mesa Blvd
Ste A
La Mesa, CA 91942
Phone (619) 461-2990

8851 Center Dr
Ste 501
La Mesa, CA 91942
Phone (619) 697-2456

502 Euclid Ave
Ste 305
National City, CA 91950
Phone (619) 470-3591

4282 Genesee Ave
Ste 204
San Diego, CA 92117

1901 4th Ave
Ste 200
San Diego, CA 92101
Phone (619) 236-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1801968730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "STE 501",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423058",
            "telephone_number": "619-697-2456",
            "fax_number": "619-697-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "STE 501",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423058",
            "telephone_number": "619-697-2456",
            "fax_number": "619-697-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO UROLOGICAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "DALTON",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT, CEO & OWNER",
        "authorized_official_telephone_number": "619-697-2456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ49499Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.