LA COSTA UROLOGY , INC
NPI 1881225050
Urology in Oceanside, CA

NPI Status: Active since January 28, 2020

Contact Information

3907 WARING RD STE 4
OCEANSIDE, CA
ZIP 92056
Phone: (760) 295-9984
Fax: (760) 295-9987

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  • Organization
  • Urology
  • CLIA Number: 05D2186694
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-18-2026

About LA COSTA UROLOGY , INC

This page provides the complete NPI Profile along with additional information for La Costa Urology , Inc, a provider established in Oceanside, California operating as a Urology. The healthcare provider is registered in the NPI registry with number 1881225050 assigned on January 2020. The practitioner's primary taxonomy code is 208800000X. 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 Jason Phillips Md (Owner)

NPI
1881225050
Provider Name
LA COSTA UROLOGY , INC
Entity Type
Organization
Location Address
3907 WARING RD STE 4 OCEANSIDE, CA 92056
Location Phone
(760) 295-9984
Location Fax
(760) 295-9987
Mailing Address
3907 WARING RD STE 4 OCEANSIDE, CA 92056
Mailing Phone
(760) 940-5012
Mailing Fax
(760) 295-9987
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2020
Last Update Date
09-11-2020
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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

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON PHILLIPS MD

Authorized Official Title
OWNER
Authorized Official Phone
(760) 916-6946

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
05D2186694
Facility Type
Physician Office
Certificate Effective Date
June 19, 2024
Certificate Expiration Date
June 18, 2026
Laboratory Director
JASON PHILLIPS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to La Costa Urology , Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1881225050
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281614210010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1881225050 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417120387DR. JASON MICHAEL PHILLIPS MD, MBA
Individual
Urology3907 WARING RD STE 4
OCEANSIDE, CA 92056
(760) 637-2500
1407146749DR. AARON GAUDIEL BOONJINDASUP M.D.
Individual
Urology3907 WARING RD STE 4
OCEANSIDE, CA 92056
(706) 940-5012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881225050, enumerated in the NPI registry as an "organization" on January 28, 2020

The provider is located at 3907 Waring Rd Ste 4 Oceanside, Ca 92056 and the phone number is (760) 295-9984

This medical organization specializes in Urology with taxonomy code 208800000X

The provider's CLIA number is 05D2186694 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 28, 2020. 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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