CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP. – NPI #1679629968
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.

Health Care Provider Taxonomy Code for Urology

CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP. is an urologist located in CASTRO VALLEY, CA. NPPES has assigned the NPI number 1679629968 to CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP. on January 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as Chabot Urology Medcal Associates, A Professional Corp. and 2 other listed below. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 3 years ago on Jul 11, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP. below.

NPI Profile for
CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP.

NPI Number
1679629968
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP.
Doing Business As (dba): CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP.
Other name(s)
All associated names:
Doing Business As (dba)
Chabot Urology Medcal Associates, A Professional Corp.
Doing Business As (dba)
Chabot Urology Medical Associates , A Professional Corporation
Doing Business As (dba)
Chabot Urology Medical Associates, A Professional Corp.
Primary location
20055 LAKE CHABOT RD STE 310
CASTRO VALLEY, CA 94546-5334
Phone: (510) 889-9166 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SOURJYA MISRA
PRESIDENT
Phone: (510) 889-9166
Updated
Certification Date
Jul 11, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHABOT UROLOGY MEDICAL ASSOCIATES, A PROFESSIONAL CORP.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAE85288
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)		 CA A49141

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.