NPIMap

Organization Active NPI

Tower Urology Inc

  • Urology Physician
  • Los Angeles, CA
National Provider Identifier
1861422941
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
W14266 Issued in CA
Legal business name
TOWER UROLOGY INC
Practice address
8635 W 3Rd St
Suite 1 West
Los Angeles, CA 90048-6101
Phone
(310) 854-0212
Fax
(310) 854-0627
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Mrs. Azita Pakravan
Title
Ceo
Phone
(310) 854-9898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X W14266 CA
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X W14266 CA Primary

Addresses

Primary practice location

8635 W 3Rd St
Suite 1 West
Los Angeles, CA 90048-6101

Mailing address

8635 W 3Rd St
Suite 1 West
Los Angeles, CA 90048-6101
Phone (310) 854-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001527 CA Part B Supplier - Clinic/Group Practice 7315918885 Receives reassigned benefits from 21 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0544900Tower Urology Inc8635 W Third St, Ste 1W, Los Angeles, CA 90048ComplianceJun 11, 2027

National Provider Directory

National Provider Directory

Locations

8635 W 3rd St
Ste 1W
Los Angeles, CA 90048
Phone (310) 854-9898

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1861422941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 1 WEST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-854-0212",
            "fax_number": "310-854-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 1 WEST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-854-0212",
            "fax_number": "310-854-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "PAKRAVAN",
        "authorized_official_first_name": "AZITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-854-9898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "W14266",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "W14266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.