West Contra Costa Urological Surgery Medical Group Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC.

Practice address

2089 Vale Rd
Suite 25
San Pablo, CA 94806-3847

Phone

(510) 235-1137

Fax

(510) 232-5929

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mark Silvert, MDNPI 1265533426

Title

President

Phone

(510) 235-1137

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Mark Silvert, MD

  • Specialist
  • San Pablo, CA
  • NPI 1265533426
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1891836482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 VALE RD",
            "address_2": "SUITE 25",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063847",
            "telephone_number": "510-235-1137",
            "fax_number": "510-232-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD",
            "address_2": "SUITE 25",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063847",
            "telephone_number": "510-235-1137",
            "fax_number": "510-232-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CONTRA COSTA UROLOGICAL SURGERY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "SILVERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-235-1137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811038490",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1268833426",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Nelson MD, a Medical Corporation
• Tiffany L Washington, CD
• David S. Weiland, M.D.
• Gilbert Kesten Weisman, M.D.
• West Contra Costa Healthcare District
• Western Dental Services, Inc.
• Breanna Regenae White
• Katherine Dagmar Wilkens, PA
• William W Chen MD Medical Corporation
• Diane Williams

• Specialist in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.