Pediatric Urology Medical Group, Inc.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

G22205 Issued in CA

Legal business name

PEDIATRIC UROLOGY MEDICAL GROUP, INC.

Practice address

87 Scripps Dr
Suite 114
Sacramento, CA 95825-6372

Phone

(916) 649-8991

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen R. Shapiro, M.D.

Title

Pediatric Urologist

Phone

(916) 649-8991

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952469728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR",
            "address_2": "SUITE 114",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256372",
            "telephone_number": "916-649-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SCRIPPS DR",
            "address_2": "SUITE 114",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256372",
            "telephone_number": "916-649-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC UROLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PEDIATRIC UROLOGIST",
        "authorized_official_telephone_number": "916-649-8991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "G22205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0069580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Bioscience, Inc.
• Pediatric Cardiologists of Northern California Inc
• Pediatric Medical Associates of Sacramento Inc
• Pediatric Orthotic and Prosthetic Services-West, LLC
• Pediatric Urgent Care of Sacramento, Inc
• Pediatrix Cardiology of Sacramento PC
• Kenneth Pedigo
• Diego Timoteo Pedraza
• Jeanette Pedres, BCBA
• Haylee Pedro

• Pediatric Urology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatric 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.