Active NPI
San Diego Urological Medical Group
- Urology Physician
- La Mesa, CA
National Provider Identifier
1801968730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ49499Z | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urology Physician
- San Diego, CA
- NPI 1568564276
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.