The Urological Institute of San Diego

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G85788 Issued in CA

Legal business name

THE UROLOGICAL INSTITUTE OF SAN DIEGO

Practice address

8851 Center Dr
Suite 208
La Mesa, CA 91942-3189

Phone

(619) 828-1000

Fax

(619) 828-1001

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Beverly Halsey

Title

Biller/Credentialer

Phone

(951) 246-4281

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Scott Logan Brown, MD, a professional corp. Former legal business name

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1861707366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 208",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423189",
            "telephone_number": "619-828-1000",
            "fax_number": "619-828-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 208",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423189",
            "telephone_number": "619-828-1000",
            "fax_number": "619-828-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UROLOGICAL INSTITUTE OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "HALSEY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "BILLER/CREDENTIALER",
        "authorized_official_telephone_number": "951-246-4281"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G85788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Logan Brown, MD, a professional corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• The Cataract Vision Institute LLC
• The Heart Center of San Diego Medical Group, Inc
• The Kensington Agency Inc
• The Lasik Vision Institute LLC
• The Rover Group, Inc.
• Therapy for Black Women
• Bruce L. Thiessen, PH.D.
• Colton Thom
• Erin Elizabeth Thom, IBCLC, BSNS
• Thomas J. Olinger Apc

• Urology Physician in La Mesa, CA
• Providers in La Mesa, 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 10, 2010; 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.