VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC (NPI# 1225073588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225073588 |
| Entity Type | Organization |
| Organization Name | VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC |
| Practice Address |
200 Cottage Ave Ste 101 Manteca CA 95336-4935 |
| Mailing Address |
1541 Florida Ave Ste 306 Modesto CA 95350-4429 |
| Practice Telephone | 2092392197 |
| Practice Fax Number | 2092397672 |
| Mailing Telephone | 2095210870 |
| Mailing Fax Number | 2095210398 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | MR. GERALD BOYAJIAN (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 2095210870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0066264 | 05 |
| Street Address |
200 COTTAGE AVE STE 101 |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031693 | Michael Steven Davis | Internal Medicine | 200 Cottage Ave, Ste 203, Manteca, CA 95336-4935 | 2005-05-31 |
| 1548494974 | Greater Modesto Medical Surgical Associates, Inc. | Urology | 200 Cottage Ave, Suite 101, Manteca, CA 95336-4935 | 2009-05-13 |
| 1912183153 | Mchenry Medical Group, Inc. | Urology | 200 Cottage Ave, Sute 101, Manteca, CA 95336-4935 | 2008-01-17 |
| 1841471166 | Russell P Carter Jr Md Inc | Internal Medicine | 200 Cottage Ave, Suite 201, Manteca, CA 95336-4935 | 2007-11-15 |
| 1477675387 | Central Valley Eye Medical Group Inc. | Eyewear Supplier (Equipment, not the service) | 200 Cottage Ave, Ste 102, Manteca, CA 95336-4935 | 2007-04-04 |
| 1700942190 | Sleepmed of California | Durable Medical Equipment & Medical Supplies | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-12-29 |
| 1760594089 | Carmelita Casison Nisperos | Pediatrics | 200 Cottage Ave, Suite 202, Manteca, CA 95336-4935 | 2006-08-31 |
| 1831206432 | Prabhjit S. Purewal, Md, Inc. | Non-Pharmacy Dispensing Site | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-08-23 |
| 1760494066 | Holly Noel Reece | Physician Assistant | 200 Cottage Ave, Ste 103, Manteca, CA 95336-4935 | 2006-08-13 |
| 1649222118 | Prabhjit S. Purewal, Md, Inc | Specialist | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366603789 | Adam Stone Bellinger | Urology | 1799 W. Yosemite Avenue, Manteca, CA 95337-5160 | 2008-06-18 |
| 1275781205 | Salman S Razi Md Inc | Urology | 1144 Norman Dr, 204, Manteca, CA 95336-5925 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.