Chabot Urology Medical Associates, A Professional Corp.
NPI 1679629968ActiveOrganization· Urology· Castro Valley, CA
Urology in Castro Valley, California, registered in NPPES in January 2007. The authorized official on file is Sourjya Prakash Misra, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679629968 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2007 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | A49141 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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