PEDIATRIC UROLOGY MEDICAL GROUP, INC. (NPI# 1952469728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952469728 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC UROLOGY MEDICAL GROUP, INC. |
| Practice Address |
87 Scripps Dr Suite 114 Sacramento CA 95825-6372 |
| Practice Telephone | 9166498991 |
| Mailing Telephone | 9166498991 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEPHEN R. SHAPIRO (PEDIATRIC UROLOGIST) |
| Authorized Official Telephone | 9166498991 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
G22205 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0069580 | 05 |
| Street Address |
87 SCRIPPS DR SUITE 114 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437100898 | Alok Krishna | Counselor | 87 Scripps Dr, Sacramento, CA 95825-6372 | 2006-05-12 |
| 1174174049 | Britta Anne Van Andel | Nurse Practitioner | 87 Scripps Dr, Sacramento, CA 95825-6372 | 2019-09-23 |
| 1043612732 | Alok Krishna Md | Non-Pharmacy Dispensing Site | 87 Scripps Dr, Suite 210, Sacramento, CA 95825-6372 | 2014-09-24 |
| 1497024095 | Comprehensive Medical Evaluations | Legal Medicine | 87 Scripps Dr, 216, Sacramento, CA 95825-6372 | 2011-12-28 |
| 1942467527 | Jon Kvenvolden | Naturopath | 87 Scripps Dr, Suite 308, Sacramento, CA 95825-6372 | 2008-05-21 |
| 1629124599 | Mark Stephen Fields | Acupuncturist | 87 Scripps Dr, Suite #212, Sacramento, CA 95825-6372 | 2007-01-25 |
| 1841340940 | David Joseph Berg | Dentist | 87 Scripps Dr, Suite #314, Sacramento, CA 95825-6372 | 2007-01-11 |
| 1194899278 | Michael A Uro | Podiatrist | 87 Scripps Dr, Suite 306, Sacramento, CA 95825-6318 | 2006-11-20 |
| 1487728507 | Stephen Roy Shapiro | Urology | 87 Scripps Dr, Suite # 114, Sacramento, CA 95825-6372 | 2006-11-20 |
| 1003980731 | A. Reza Ehyai | Psychiatry & Neurology | 87 Scripps Dr, Suite 216, Sacramento, CA 95825-6372 | 2006-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
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| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124267828 | Radiological Associates of Sacramento Medical Group Inc. | Urology | 500 University Ave, 200, Sacramento, CA 95825-6504 | 2009-02-19 |
| 1487728507 | Stephen Roy Shapiro | Urology | 87 Scripps Dr, Suite # 114, Sacramento, CA 95825-6372 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326825 | Faculty Physicians and Surgeons of Llusm | Urology | 11360 Mt View Ave Ste B, Loma Linda, CA 92354-3834 | 2019-09-30 |
| 1124416813 | Igal Silber | Urology | 2645 Nido Way, Laguna Beach, CA 92651-4024 | 2015-01-02 |
| 1922430016 | Alan M Freedman M D Inc | Urology | 401 Old Newport Blvd Ste 101, Newport Beach, CA 92663-4276 | 2013-07-31 |
| 1639449614 | Herbert Schwarz | Urology | 12011 Theta Rd, Santa Ana, CA 92705-3328 | 2012-01-06 |
| 1518194935 | Renea Sturm | Urology | 200 Ucla Medical Plz Ste 170, Los Angeles, CA 90095-8344 | 2009-06-11 |
| 1295900439 | Faculty Physicians and Surgeons of Llusm | Urology | 11370 Anderson St Ste 2050, Loma Linda, CA 92354-3450 | 2008-04-29 |
| 1598938243 | Jennifer Hsueh-lin Yang | Urology | Ucsf Department of Urology, 400 Parnassus Avenue, A633, San Francisco, CA 94143-0001 | 2008-04-02 |
| 1386829034 | University Childrens Medical Group | Urology | 4650 W Sunset Blvd # 114, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1255522538 | Andy Yu-how Chang | Urology | 6430 W Sunset Blvd Ste 600, Los Angeles, CA 90028-7909 | 2007-08-05 |
| 1851500573 | Hillary L Copp | Urology | Ucsf Dept of Urology, 400 Parnassus Ave, San Francisco, CA 94143-0001 | 2007-05-21 |
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| City | SACRAMENTO |
| Zip Code | 95825 |
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| 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.