BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON – NPI #1992872410
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).

BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON is an urologist located in BERKELEY, CA. NPPES has assigned the NPI number 1992872410 to BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON on November 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2088P0231X from the Health Care Provider Taxonomy code set, which is classified as Urology, specializing in Pediatric Urology

The NPI profile was previously updated about 17 years ago on Mar 12, 2009. 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 BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON below.

NPI Profile for
BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON

NPI Number
1992872410
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
BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON
Primary location
2999 REGENT ST
#612
BERKELEY, CA 94705-2146
Phone: (510) 848-1733 Fax: (510) 848-8224
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TINA BETTENCOURT
PRACTICE ADMINISTRATOR
Phone: (510) 848-1733
Updated
Identifiers

Identifiers for BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON

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
MEDICAIDCAYYY49005Y
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
2088P0231X
- Urology / Pediatric Urology (Primary)

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.