NPIMap

Organization Active NPI

Urology Center of Southern California Medical Group Inc

  • Urology Physician
  • Murrieta, CA
National Provider Identifier
1982631412
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP INC
Practice address
28078 Baxter Rd
#450
Murrieta, CA 92563-1402
Phone
(951) 677-3000
Fax
(951) 672-4171
NPI assigned
Jun 28, 2006
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Ms. Madhumitha C Reddy, D.O.NPI 1568724417
Title
Cfo
Phone
(951) 677-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

28078 Baxter Rd
#450
Murrieta, CA 92563-1402

Mailing address

801 S Main St Ste 201
Corona, CA 92882-3410
Phone (951) 735-2700

Other identifiers 4

IdentifierTypeStateIssuer
GR0090700MedicaidCA
ZZZ02498ZOtherCABLUE SHIELD
ZZZ08232ZOtherCABLUE SHIELD
GR0090703MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001245 CA Part B Supplier - Clinic/Group Practice 6406745439 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Riverside, CA; Murrieta, CA; Encinitas, CA; Corona, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Urology Center of So Calif Medical Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

555 E Tachevah Dr
Ste 2W101
Palm Springs, CA 92262
Phone (760) 320-6005

72120 Magnesia Falls Dr
Bldg C
Rancho Mirage, CA 92270

4244 Riverwalk Pkwy
Ste 240
Riverside, CA 92505
Phone (951) 509-3580

36243 Inland Valley Dr
Ste 250
Wildomar, CA 92595
Phone (951) 461-3311

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1982631412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823410",
            "telephone_number": "951-735-2700",
            "fax_number": "951-735-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "#450",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-677-3000",
            "fax_number": "951-672-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MADHUMITHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-677-3000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.O."
    },
    "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": "GR0090700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02498Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08232Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090703",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.