Pacific Urology a Medical Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PACIFIC UROLOGY A MEDICAL CORPORATION

Practice address

2222 East Street
#250
Concord, CA 94520

Phone

(925) 609-7220

Fax

(925) 689-3298

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Paul Taylor, MD

Title

President

Phone

(925) 609-7220

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Jonathan Lum Chin, MD

  • Urology Physician
  • Antioch, CA
  • NPI 1841216892
  NPD (past)
• Janet Roberta Kallo, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • San Francisco, CA
  • NPI 1265467708
  NPD (past)
• Shannon Mulholland, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Francisco, CA
  • NPI 1477584340
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831122480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 EAST STREET",
            "address_2": "#250",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-609-7220",
            "fax_number": "925-689-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 EAST STREET",
            "address_2": "#250",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-609-7220",
            "fax_number": "925-689-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC UROLOGY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-609-7220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Evelyn Pace
• Madeleine Rose Pach, CCC-SLP
• Keyla Pacheco
• Pacific Clinics
• Pacific Nephrology Medical Corporation
• Ray Pack
• Samantha R Packer, MA
• Natasha Paddock, ASW
• Briana Paden
• Lesly Janet Padilla Arias

• Urology Physician in Concord, CA
• Providers in Concord, CA by specialty
• Urology Physician in California

• 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.