Urology Associates of the Humboldt Nation, AMC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY ASSOCIATES OF THE HUMBOLDT NATION, AMC

Practice address

2576 Renfrew St
Eureka, CA 95501-3345

Phone

(707) 445-3257

Fax

(707) 445-1027

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

John Joseph Albertini, M.D.

Title

Owner

Phone

(707) 445-3257

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Brian Wallace Dorman, MD

  • Urology Physician
  • Eureka, CA
  • NPI 1447278122
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1922138999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 RENFREW ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013345",
            "telephone_number": "707-445-3257",
            "fax_number": "707-445-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 RENFREW ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013345",
            "telephone_number": "707-445-3257",
            "fax_number": "707-445-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF THE HUMBOLDT NATION, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "ALBERTINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-445-3257",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0000210",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN DMERC",
            "identifier": "02708930001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Indian Health Services, Inc.
• United Indian Health Services, Inc.
• United Indian Health Services, Inc.
• United Indian Health Services, Inc.
• Kayla Darlene Urjevich
• Nina Ricci Urrutia, R.N.
• Maya Urva
• Theodore Donald Utecht, M.D.
• Sam Sasan Vahdat, PHARM.D
• Alireza Valadkhan

• Urology Physician in Eureka, CA
• Providers in Eureka, 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 20, 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.