La Jolla Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

LA JOLLA UROLOGY

Practice address

9834 Genesee Ave
#421
La Jolla, CA 92037-1223

Phone

(858) 458-0099

Fax

(858) 458-9330

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Christine Mahomed

Title

Practice Manager

Phone

(858) 458-0099

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1811942139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33865",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633865",
            "telephone_number": "858-888-7700",
            "fax_number": "858-888-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "#421",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-458-0099",
            "fax_number": "858-458-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "MAHOMED",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "858-458-0099"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• La Jolla Wellness, Licensed Clinical Social Worker, Inc.
• La Jolla Womens Surgery Center Inc
• Olivia La Monte, MD
• Michael La
• Christian David Labonte, DMD

• Urology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.