COVINA VALLEY UROLOGIC MEDICAL GROUP, INC.
NPI 1407812332
Urology - Pediatric Urology in West Covina, CA
NPI Status: Active since April 20, 2006
Contact Information
421 E MERCED AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 918-1881
Fax: (626) 918-3618
- Organization
- Urology
- Pediatric Urology
- CLIA Number: 05D0565138
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-20-2025
About COVINA VALLEY UROLOGIC MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Covina Valley Urologic Medical Group, Inc., a provider established in West Covina, California operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1407812332 assigned on April 2006. The practitioner's primary taxonomy code is 2088P0231X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sung M Choe M.d. (President)
- NPI
- 1407812332
- Provider Name
- COVINA VALLEY UROLOGIC MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 421 E MERCED AVE WEST COVINA, CA 91790
- Location Phone
- (626) 918-1881
- Location Fax
- (626) 918-3618
- Mailing Address
- 421 E MERCED AVE WEST COVINA, CA 91790
- Mailing Phone
- (626) 918-1881
- Mailing Fax
- (626) 918-3618
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-20-2006
- Last Update Date
- 08-17-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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).
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G604841 | MEDICAID (05) | CA | |
| 00G604840 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0565138
- Facility Type
- Physician Office
- Certificate Effective Date
- June 21, 2023
- Certificate Expiration Date
- June 20, 2025
- Laboratory Director
- SUNG M. CHOE MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Covina Valley Urologic Medical Group, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 8 | 1 | 2 | 3 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 16 | 1 | 4 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 6 + 1 + 4 + 3 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1407812332 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962563585 | GARY BLAINE WALKER PA-C Individual | Physician Assistant | 421 E MERCED AVE WEST COVINA, CA 91790 (626) 918-1881 |
| 1568648608 | DR. JOHN YOUNG LEE M.D. Individual | Urology | 421 E MERCED AVE WEST COVINA, CA 91790 (626) 918-1881 |
| 1326041427 | SUNG M CHOE M.D. Individual | Urology (Pediatric Urology) | 421 E MERCED AVE WEST COVINA, CA 91790 (626) 918-1881 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407812332, enumerated in the NPI registry as an "organization" on April 20, 2006
The provider is located at 421 E Merced Ave West Covina, Ca 91790 and the phone number is (626) 918-1881
This medical organization specializes in Urology with taxonomy code 2088P0231X with a focus in Pediatric Urology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D0565138 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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